Village of Hanover Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8960 Issued in IL

Legal business name

VILLAGE OF HANOVER PARK

Practice address

2121 W Lake St
Hanover Park, IL 60133-4301

Phone

(630) 372-4200

Fax

(630) 372-4215

NPI assigned

Aug 23, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Haigh

Title

Fire Chief

Phone

(630) 372-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Gennaro, DO

  • Orthopaedic Surgery Physician
  • Plymouth, NH
  • NPI 1801814611
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023124617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W LAKE ST",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334301",
            "telephone_number": "630-372-4200",
            "fax_number": "630-372-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF HANOVER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAIGH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-372-4200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1623660",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzette Thomsen
• James B Thomson, LCPC
• Lizbeth Angeles Trevino
• Patsy Tucker
• Anupam Verma
• Nina M Vilme, DPT
• Walgreen Co (Walgreens #02447)
• Walgreen Co (Walgreens #03729)
• Walgreen Co (Walgreens #05366)
• Walgreens

• Land Ambulance in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.