Provider Demographics
NPI:1477576833
Name:FOX RIVER GROVE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:FOX RIVER GROVE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KREHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-639-9232
Mailing Address - Street 1:411 ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1411
Mailing Address - Country:US
Mailing Address - Phone:847-639-9232
Mailing Address - Fax:847-639-3336
Practice Address - Street 1:411 ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1411
Practice Address - Country:US
Practice Address - Phone:847-639-9232
Practice Address - Fax:847-639-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71523416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5623716OtherBCBS
IL=========001Medicaid
IL5623716OtherBCBS
IL591790Medicare PIN