Provider Demographics
NPI:1689680894
Name:LONG GROVE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:LONG GROVE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TURPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-634-3143
Mailing Address - Street 1:395 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1508
Mailing Address - Country:US
Mailing Address - Phone:630-530-2372
Mailing Address - Fax:530-903-2830
Practice Address - Street 1:1165 OLD MCHENRY RD
Practice Address - Street 2:
Practice Address - City:LONG GROVE
Practice Address - State:IL
Practice Address - Zip Code:60047-5088
Practice Address - Country:US
Practice Address - Phone:847-634-3143
Practice Address - Fax:847-634-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1072663416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL049-90002OtherBCBS
IL590013830OtherRAILROAD MEDICARE
IL306790Medicare ID - Type Unspecified
IL049-90002OtherBCBS