Organization Active NPI

Village of Buffalo Grove

Doing business as Buffalo Grove Fire Department

  • Land Ambulance
  • Buffalo Grove, IL
National Provider Identifier
1174561591
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
98179 Issued in IL
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

Updated by the provider on Sep 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07125772OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Buffalo Grove Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000676 IL Part B Supplier - Ambulance Service Supplier 3274793757 Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.