Organization · Type 2 NPI

Village of Bolingbrook Illinois

Land Ambulance · Bolingbrook, IL

NPI number 1104811967 Active

Practice location

375 W Briarcliff Rd
Bolingbrook, IL 60440-3825

Fax (630) 759-4016

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300XNone listed

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About NPI 1104811967

Village of Bolingbrook Illinois's National Provider Identifier is 1104811967, issued on Sep 16, 2005. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Bolingbrook, IL. The record was last updated on May 29, 2026.