MEDICARE: LEYDEN 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	88066	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590003919	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	016-70421	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1972518413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEYDEN FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 547
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-0547
Country	:	US
Telephone Number	:
Fax Number	:	336-791-0196

Provider Business Practice Location Address
First Line	:	2600 MANNHEIM RD
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-3137
Country	:	US
Telephone Number	:	847-455-0180
Fax Number	:	847-455-1126

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	DON KADERABEK
Credential	:
Telephone Number	:	847-455-0180

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	12/29/2025

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Directions to “LEYDEN FIRE PROTECTION DISTRICT ” Practice Location

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