City of Loves Park

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF LOVES PARK

Practice address

400 Grand Ave
Loves Park, IL 61111-4513

Phone

(815) 654-5049

NPI assigned

Mar 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Wiltfang

Title

Fire Chief

Phone

(815) 654-5049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1003376856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAND AVE",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114513",
            "telephone_number": "815-654-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRAND AVE",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114513",
            "telephone_number": "815-654-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LOVES PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "WILTFANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-654-5049"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Ling Chou, M.D.
• Chris Scott Wellness
• Nellie Christ, D.C.
• Christopher Chalk, S.C.
• Paul Cichon, PHARMD
• Daniel B Claunch, CRNA
• Clinic of Psychiatric Care
• Cole Vision Corporation
• Tracy L. Cole, MD
• Heidi Colehour, DC

• Ambulance in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.