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NPI 1295740736

NPI 1295740736 : CITY OF HIGHLAND PARK : HIGHLAND PARK, IL

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General NPI Number Information
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    NPI Number           |    1295740736
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF HIGHLAND PARK 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    1130 CENTRAL AVE 
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    City                 |    HIGHLAND PARK
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    State                |    IL
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    Zip                  |    60035-3299
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    Country              |    US
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    Telephone            |    847-433-3110
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    Fax                  |    847-432-0699
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1368 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-8368
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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                 |     JOSEPH  SCHRAGE 
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    Credential           |    
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    Telephone            |    847-926-1067
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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       |    107258
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    License Number State |    IL
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