Provider Demographics
NPI:1306849567
Name:VILLAGE OF ARLINGTON HEIGHTS A
Entity Type:Organization
Organization Name:VILLAGE OF ARLINGTON HEIGHTS A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-368-5450
Mailing Address - Street 1:PO BOX 7134
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-7134
Mailing Address - Country:US
Mailing Address - Phone:847-368-5450
Mailing Address - Fax:
Practice Address - Street 1:33 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1403
Practice Address - Country:US
Practice Address - Phone:847-368-5000
Practice Address - Fax:847-368-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL981783416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1670140OtherBCBS PROVIDER NUMBER
IL132855900OtherDEPT OF LABOR OWCP
IL792590164OtherMEDICARE RAILROAD
IL1670140OtherBCBS PROVIDER NUMBER
IL=========OtherHEALTH NET FEDERAL SVC
IL=========OtherHEALTH NET FEDERAL SVC
IL792590164Medicare PIN