Provider Demographics
NPI:1184648438
Name:GRAYSLAKE FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:GRAYSLAKE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-223-8960
Mailing Address - Street 1:PO BOX 6253
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-6253
Mailing Address - Country:US
Mailing Address - Phone:630-530-2988
Mailing Address - Fax:630-832-9750
Practice Address - Street 1:160 HAWLEY ST
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-1515
Practice Address - Country:US
Practice Address - Phone:847-223-8960
Practice Address - Fax:847-223-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL72843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL590014905OtherRR MEDICARE
IL4970643OtherBCBS
IL610560000OtherDOL OWCP
IL4970643OtherBCBS