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General NPI Number Information
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NPI Number | 1598852659
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Entity Type | Organization
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Legal Business Name | VILLAGE OF RIVER FOREST
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 400 PARK AVE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1726
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Country | US
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Telephone | 708-366-8500
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Fax | 708-366-3702
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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 | THOMAS GAERTNER
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Credential |
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Telephone | 708-714-3560
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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 | 88076
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License Number State | IL
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