Organization · Type 2 NPI

Village of East Hazel Crest

Land Ambulance · East Hazel Crest, IL

NPI number 1407731631 Active

Practice location

17223 Throop St
East Hazel Crest, IL 60429-1949

Call (708) 798-3902 Map

Fax (708) 206-0148

Mailing address

1904 174th St
East Hazel Crest, IL 60429-1442

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

NPI record

NPI: 1407731631
Entity type: Organization (Type 2)
Issued: Aug 7, 2025
Last updated: Aug 20, 2025
Status: Active

Other names

<unavail>
East Hazel Crest Fire Department · doing business as
East Hazel Crest Fire Department · doing business as

Authorized official

Thomas A Brown
Village President
(708) 798-0213

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407731631

Village of East Hazel Crest's National Provider Identifier is 1407731631, issued on Aug 7, 2025. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in East Hazel Crest, IL. The record was last updated on Aug 20, 2025.