Healthcare Provider Details

I. General information

NPI: 1265426548
Provider Name (Legal Business Name): NORTH AURORA CO FIRE PROTECTION DIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MONROE ST
NORTH AURORA IL
60542-1666
US

IV. Provider business mailing address

2 MONROE ST
NORTH AURORA IL
60542-1666
US

V. Phone/Fax

Practice location:
  • Phone: 630-897-9698
  • Fax:
Mailing address:
  • Phone: 630-897-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number7194
License Number StateIL

VIII. Authorized Official

Name: MR. STEVE M. MILLER
Title or Position: FIRE CHIEF
Credential:
Phone: 630-897-9698