Provider Demographics
NPI:1679576862
Name:ALGONQUIN FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ALGONQUIN FIRE PROTECTION DISTRICT
Other - Org Name:ALGONQUIN LAKE IN THE HILLS FIRE PROTECTION DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUETSCHOW
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF
Authorized Official - Phone:847-658-8223
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:847-577-8811
Mailing Address - Fax:847-577-9515
Practice Address - Street 1:1020 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-3500
Practice Address - Country:US
Practice Address - Phone:847-658-8233
Practice Address - Fax:847-854-2609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL79573416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL356195100OtherDEPT OF LABOR OWCP
IL5621609OtherBCBS PROVIDER NUMBER
IL590012475OtherMEDICARE RAILROAD
IL356195100OtherDEPT OF LABOR OWCP
IL=========OtherHEALTH NET FEDERAL SVC
IL5621609OtherBCBS PROVIDER NUMBER
IL=========OtherHEALTH NET FEDERAL SVC