Provider Demographics
NPI:1093986366
Name:VILLAGE OF GLENVIEW
Entity Type:Organization
Organization Name:VILLAGE OF GLENVIEW
Other - Org Name:GLENVIEW FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLOBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-657-6785
Mailing Address - Street 1:1815 GLENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2909
Mailing Address - Country:US
Mailing Address - Phone:847-657-6785
Mailing Address - Fax:847-724-2174
Practice Address - Street 1:1815 GLENVIEW RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2909
Practice Address - Country:US
Practice Address - Phone:847-657-6785
Practice Address - Fax:847-724-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL81303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport