Provider Demographics
NPI:1891730545
Name:INVERNESS FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:INVERNESS FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-991-8700
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:847-577-7967
Practice Address - Street 1:35 N ELA RD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60010-3501
Practice Address - Country:US
Practice Address - Phone:847-991-8700
Practice Address - Fax:847-991-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL89453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL590013678OtherRR MEDICARE
IL01621015OtherBCBS
IL01621015OtherBCBS
IL=========OtherTRICARE NORTH
IL392180Medicare PIN
IL01621015OtherBCBS