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NPI 1184648438

NPI 1184648438 : GRAYSLAKE FIRE PROTECTION DISTRICT : GRAYSLAKE, IL

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General NPI Number Information
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    NPI Number           |    1184648438
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRAYSLAKE FIRE PROTECTION DISTRICT 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    160 HAWLEY ST 
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    City                 |    GRAYSLAKE
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    State                |    IL
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    Zip                  |    60030-1515
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    Country              |    US
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    Telephone            |    847-223-8960
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    Fax                  |    847-223-8964
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6253 
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    City                 |    CAROL STREAM
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    State                |    IL
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    Zip                  |    60197-6253
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    Country              |    US
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    Telephone            |    630-530-2988
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    Fax                  |    630-832-9750
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     DANIEL ALLEN PIERRE 
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    Credential           |    
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    Telephone            |    847-223-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    7284
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    License Number State |    IL
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