=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932148350
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ORLAND FIRE PROTECTION DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2006
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9790 WEST 151ST STREET
-----------------------------------------------------
City | ORLAND PARK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-349-0074
-----------------------------------------------------
Fax | 708-349-0354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9790 WEST 151 STREET
-----------------------------------------------------
City | ORLAND PARK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-349-0074
-----------------------------------------------------
Fax | 708-349-0354
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FINANCE DIRECTOR
-----------------------------------------------------
Name | MRS. KERRY COLLEEN SULLIVAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 708-873-2711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 8300
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------