City of Evanston

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8184 Issued in IL

Legal business name

CITY OF EVANSTON

Doing business as

Evanston Fire Department

Practice address

909 Lake St
Evanston, IL 60201-4318

Phone

(847) 328-2100

Fax

(847) 328-7311

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Michael Whalen

Title

Fire Chief

Phone

(847) 328-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evanston Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Evanston Fire Departmen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Evanston

  • State or Local Public Health Clinic/Center
  • Evanston, IL
  • NPI 1790957884
  NPD tax ID
• City of Evanston Health Department

  • Public Health or Welfare Agency
  • Evanston, IL
  • NPI 1790095065
  NPD tax ID

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1174542377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220001",
            "telephone_number": "847-328-2100",
            "fax_number": "847-328-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LAKE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014318",
            "telephone_number": "847-328-2100",
            "fax_number": "847-328-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EVANSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-328-2100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1670032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanston Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Cira, PSYD
• Cirio Therapy
• Simona Luisa Carla Cirio
• Anthony Cirrincione, M.D.
• Carol M Cislak, M.D.
• City of Evanston
• City of Evanston Health Department
• Tamara Miriam Claman, PSY.D.
• Bridget Kathrn Clancy
• Collin Clark

• Land Ambulance in Evanston, IL
• Providers in Evanston, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.