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General NPI Number Information
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NPI Number | 1629132048
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Entity Type | Organization
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Legal Business Name | VILLAGE OF ALSIP
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 12600 S PULASKI RD
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City | ALSIP
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State | IL
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Zip | 60803-1913
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Country | US
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Telephone | 708-292-0134
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | WHEELING
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State | IL
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Zip | 60090-0457
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Country | US
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Telephone | 363-518-6343
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Fax | 336-791-0196
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. THOMAS STYCZYNSKI
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Credential | PARAMEDIC
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Telephone | 708-292-0134
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 815501
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License Number State | IL
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