Provider Demographics
NPI:1013914852
Name:OAKBROOK TERRACE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:OAKBROOK TERRACE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEBESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-834-2759
Mailing Address - Street 1:PO BOX 3366
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-3366
Mailing Address - Country:US
Mailing Address - Phone:630-275-4050
Mailing Address - Fax:630-275-4057
Practice Address - Street 1:17W400 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4045
Practice Address - Country:US
Practice Address - Phone:630-834-2759
Practice Address - Fax:630-834-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2219419OtherBCBS OF IL
590008490OtherRAILROAD MEDICARE
920470Medicare ID - Type Unspecified