Village of Antioch

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF ANTIOCH

Doing business as

Antioch Fire Department

Practice address

835 Holbek Drive
Antioch, IL 60002-0000

Phone

(847) 395-5511

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

John R. Nixon

Title

Fire Chief

Phone

(847) 395-5511

Specialties & licenses 1

Addresses

Other names 1

• Antioch Fire Department Doing business as

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1114271244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOLBEK DRIVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600020000",
            "telephone_number": "847-395-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOLBEK DRIVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600020000",
            "telephone_number": "847-395-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ANTIOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-395-5511"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Urban, LCSW
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• Kimberly Vepley
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• Robin Vlosky, MS, ED.S., LPC, NCSP
• Elizabeth Vogt, LCSW, CADC
• Anne Wagner, MS
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• Laurie Waldenstrom

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.