Active NPI
Village of Buffalo Grove
Doing business as Buffalo Grove Fire Department
- Land Ambulance
- Buffalo Grove, IL
National Provider Identifier
1174561591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 98179
- Legal business name
- VILLAGE OF BUFFALO GROVE
- Doing business as
- Buffalo Grove Fire Department
- Practice address
- 1051 Highland Grove Dr
Buffalo Grove, IL 60089-7026 - Phone
- (847) 537-0995
- Fax
- (847) 537-7370
- NPI assigned
- Jun 4, 2006
- 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
- Lawrence J Kane
- Title
- Fire Chief
- Phone
- (847) 537-0995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 98179 | IL | Primary |
Addresses
Primary practice location
1051 Highland Grove Dr
Buffalo Grove, IL 60089-7026
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07125772 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Buffalo Grove Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000676 | IL | Part B Supplier - Ambulance Service Supplier | 3274793757 | Practice locations: Buffalo Grove, IL |
National Provider Directory
National Provider DirectoryLocations
100 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 537-0995
109 Deerfield Pkwy
Buffalo Grove, IL 60089
Phone (847) 777-6110
1051 Highland Grove Dr
Buffalo Grove, IL 60089
Phone (847) 537-0995
505 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 537-5533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1174561591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6253",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601976253",
"telephone_number": "630-530-2988",
"fax_number": "630-832-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HIGHLAND GROVE DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600897026",
"telephone_number": "847-537-0995",
"fax_number": "847-537-7370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF BUFFALO GROVE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "847-537-0995"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "98179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07125772",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Buffalo Grove Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Buffalo Grove Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.