Provider Demographics
NPI:1295891695
Name:VILLAGE OF STEGER
Entity type:Organization
Organization Name:VILLAGE OF STEGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:NOWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:FILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-754-2625
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:630-903-2381
Mailing Address - Fax:
Practice Address - Street 1:35 W 34TH ST
Practice Address - Street 2:
Practice Address - City:STEGER
Practice Address - State:IL
Practice Address - Zip Code:60475-1013
Practice Address - Country:US
Practice Address - Phone:773-233-1170
Practice Address - Fax:773-233-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1670770OtherHMO ILLINOIS
IL1670770OtherBC BS OF ILLINOIS
IL791590927OtherRAILROAD RETIREMENT
IL=========001Medicaid
IL791590927OtherRAILROAD RETIREMENT