MEDICARE: ELBURN & COUNTRYSIDE 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	7230	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590028268	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	=========	OTHER	IL	TRICARE NORTH
3	4532083	OTHER	IL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457370652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELBURN & COUNTRYSIDE FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 457
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-0457
Country	:	US
Telephone Number	:	743-264-2420
Fax Number	:	847-577-7967

Provider Business Practice Location Address
First Line	:	200 EAST ROUTE 38
Second Line	:
City	:	ELBURN
State	:	IL
Zip	:	60119-8811
Country	:	US
Telephone Number	:	630-365-6855
Fax Number	:	630-365-5887

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL HUNEKE
Credential	:
Telephone Number	:	630-465-9272

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	05/02/2025

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Directions to “ELBURN & COUNTRYSIDE FIRE PROTECTION DISTRICT ” Practice Location

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