Healthcare Provider Details

I. General information

NPI: 1174565998
Provider Name (Legal Business Name): PROSPECT HEIGHTS FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E CAMP MCDONALD RD
PROSPECT HEIGHTS IL
60070-1505
US

IV. Provider business mailing address

PO BOX 457
WHEELING IL
60090-0457
US

V. Phone/Fax

Practice location:
  • Phone: 847-253-8060
  • Fax: 847-253-4759
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 Number8195
License Number StateIL

VIII. Authorized Official

Name: SMITH DREW JR.
Title or Position: FIRE CHIEF
Credential:
Phone: 847-253-8060