Provider Demographics
NPI:1174565998
Name:PROSPECT HEIGHTS FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:PROSPECT HEIGHTS FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SMITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DREW
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:847-253-8060
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 1:10 E CAMP MCDONALD RD
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1505
Practice Address - Country:US
Practice Address - Phone:847-253-8060
Practice Address - Fax:847-253-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL81953416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1671223OtherBCBS
IL590015175OtherRR MEDICARE
IL=========OtherTRICARE NORTH
IL1671223OtherBCBS
IL=========OtherTRICARE NORTH
IL1671223OtherBCBS