Pingree Grove & C Side FPD

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

97907 Issued in IL

Legal business name

PINGREE GROVE & C SIDE FPD

Practice address

39W160 Plank Rd
Elgin, IL 60123-8002

Phone

(847) 436-5335

Fax

(847) 436-6420

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Kieran Stout

Title

Fire Chief

Phone

(847) 741-3151

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1003914540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253",
            "telephone_number": "630-530-2988",
            "fax_number": "630-832-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39W160 PLANK RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601238002",
            "telephone_number": "847-436-5335",
            "fax_number": "847-436-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINGREE GROVE & C SIDE FPD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "KIERAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-741-3151"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "97907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04523024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Piercey, LCPC
• Melanie R Pignotti, LCPC
• Jasmine Hope Sumague Pilario
• Rajesh S Pillai, MD
• Josephina Pilolli, APN, FNP-C
• Pinnacle Anesthesia, LTD
• Tanya Pinto
• Sylwia Joanna Piskorowski
• Maidhili Rani Pittala, PT
• Jeremiah B Placido, M.D.

• Land Ambulance in Elgin, IL
• Providers in Elgin, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.