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VILLAGE OF LIBERTYVILLE NPI 1316990286


NPI Information

NPI: 1316990286
Provider Name: VILLAGE OF LIBERTYVILLE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1551 N MILWAUKEE AVE
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 362-5664
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VILLAGE OF LIBERTYVILLE is a land transport ambulance in Libertyville, IL. VILLAGE OF LIBERTYVILLE NPI is 1316990286. The provider is registered as an organization entity type.

The provider's business location address is:

1551 N MILWAUKEE AVE
LIBERTYVILLE, IL
ZIP 60048-394
Phone: (847) 362-5664
Fax: (847) 362-8829

The provider's authorized official is Richard Michael Carani .
The authorized official title is Fire Chief and has the following contact phone number (847) 362-5664.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport10-7265ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1717060MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2717060MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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