Active NPI
Freedom-Elite Joint Venture
- Ambulance
- Shorewood, IL
National Provider Identifier
1104523638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- FREEDOM-ELITE JOINT VENTURE
- Practice address
- 612 S Edgewater LN
Shorewood, IL 60404-9540 - Phone
- (815) 274-1279
- NPI assigned
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Spiker
- Title
- Managing Member
- Phone
- (815) 274-1279
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
612 S Edgewater LN
Shorewood, IL 60404-9540
Mailing address
612 S Edgewater LN
Shorewood, IL 60404-9540
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1104523638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S EDGEWATER LN",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604049540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S EDGEWATER LN",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604049540",
"telephone_number": "815-274-1279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM-ELITE JOINT VENTURE",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "SPIKER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "815-274-1279",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.