Healthcare Provider Details

I. General information

NPI: 1053942920
Provider Name (Legal Business Name): VILLAGE OF ROBBINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 W 137TH STREET
ROBBINS IL
60472-1636
US

IV. Provider business mailing address

PO BOX 1053
MOKENA IL
60448-2052
US

V. Phone/Fax

Practice location:
  • Phone: 708-385-8940
  • Fax:
Mailing address:
  • Phone: 708-478-5694
  • Fax: 708-478-5879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. VANA STEWART WOODS JR.
Title or Position: FIRE CHIEF
Credential:
Phone: 708-577-8876