Village of la Grange

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8064 Issued in IL

Legal business name

VILLAGE OF LA GRANGE

Practice address

300 W Burlington Ave
La Grange, IL 60525-2363

Phone

(708) 579-2338

Fax

(708) 579-9747

NPI assigned

Jul 30, 2006

Last updated

May 6, 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

David Fleege

Title

Fire Chief

Phone

(708) 579-2338

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• LaGrange Fire Department Other name

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.

• John McReynolds

  • Paramedic
  • La Grange, IL
  • NPI 1093178634
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1154336865",
    "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": "300 W BURLINGTON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252363",
            "telephone_number": "708-579-2338",
            "fax_number": "708-579-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF LA GRANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "FLEEGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-579-2338"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005886346",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632702",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00089642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Luis Valdez
• Ashley Lynn Valosek, OTR/L
• Jos M Vargeese, PHARMD
• Victoria Elaine Vega, M.S. CCC-SLP/L
• Sara Vigna
• Village of McCook
• Joanna Vivilakis
• Mayalin Vondrasek
• Allyson Voss
• VP Lactation Consulting, LLC (West Suburban Lactation & Feeding)

• Land Ambulance in La Grange, IL
• Providers in La Grange, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.