MEDICARE: GLENSIDE FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	87379	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590009988	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	022-70606	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1366457897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENSIDE FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 6253
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60197-6253
Country	:	US
Telephone Number	:	630-530-2988
Fax Number	:	630-832-9750

Provider Business Practice Location Address
First Line	:	1608 BLOOMINGDALE RD
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2657
Country	:	US
Telephone Number	:	630-668-5323
Fax Number	:	630-668-5396

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	RICH CASSADY
Credential	:
Telephone Number	:	630-668-5323

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	09/08/2025

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Directions to “GLENSIDE FIRE PROTECTION DISTRICT ” Practice Location

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