Healthcare Provider Details

I. General information

NPI: 1922021393
Provider Name (Legal Business Name): STILLMAN FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S RURAL ST
STILLMAN VALLEY IL
61084
US

IV. Provider business mailing address

200 S RURAL ST
STILLMAN VALLEY IL
61084
US

V. Phone/Fax

Practice location:
  • Phone: 815-645-8110
  • Fax: 815-645-8433
Mailing address:
  • Phone: 815-645-8110
  • Fax: 815-645-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number135202
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number135201
License Number StateIL

VIII. Authorized Official

Name: CHAD JERAMI HOEFLE
Title or Position: FIRE CHIEF
Credential:
Phone: 815-645-8110