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General NPI Number Information
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NPI Number | 1275699969
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Entity Type | Organization
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Legal Business Name | VILLAGE OF HOMEWOOD
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 17950 DIXIE HWY
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City | HOMEWOOD
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State | IL
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Zip | 60430-1732
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Country | US
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Telephone | 773-233-1170
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Fax | 773-233-8146
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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 | ASST. FIRE CHIEF
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Name | ROBERT GRABOWSKI
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Credential |
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Telephone | 708-478-5694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | IL
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