Healthcare Provider Details

I. General information

NPI: 1891730545
Provider Name (Legal Business Name): INVERNESS FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 N ELA RD
INVERNESS IL
60010-3501
US

IV. Provider business mailing address

PO BOX 457
WHEELING IL
60090-0457
US

V. Phone/Fax

Practice location:
  • Phone: 847-991-8700
  • Fax: 847-991-8789
Mailing address:
  • Phone: 847-577-8811
  • Fax: 847-577-7967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number8945
License Number StateIL

VIII. Authorized Official

Name: DAWN ANDRLIK
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 847-991-8700