Fox Lake Fire Protection District – Land Ambulance

Key facts

NPI: 1174759294
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
Legal business name: FOX LAKE FIRE PROTECTION DISTRICT
Practice address: 306 Washington
#237
Ingleside, IL 60041-0237
Phone: (847) 587-3978
Fax: (847) 587-0895
NPI assigned: Jun 3, 2009
Organization subpart: No

Authorized official

Name: Edward Lescher
Title: Fire Chief
Phone: (847) 587-3312

Corporate family (same tax ID) 2

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

Fox Lake Fire Protection District Land Ambulance · Ingleside, IL · NPI 1144461278

NPD tax ID
Fox Lake Fire Protection District General Acute Care Hospital · Fox Lake, IL · NPI 1639525116

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ethan Dennis Dahl Basic Emergency Medical Technician · Ingleside, IL · NPI 1194398776

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20091204000084	IL	Part B Supplier - Ambulance Service Supplier	4183778954	Practice locations: Fox Lake, IL; Ingleside, IL

National Provider Directory

Tax ID family: Fox Lake Fire Protection District (3 organizations share this tax ID)

Locations

306 Washington Ave
Fox Lake, IL 60020
Phone (847) 587-3312

911 Main St
Fox Lake, IL 60020
Phone (847) 587-3314

26603 W Molidor Rd
Ingleside, IL 60041
Phone (847) 546-6034

306 Washington St
#237
Ingleside, IL 60041
Phone (847) 587-3978

26535 W Molidor Rd
Ingleside, IL 60041
Phone (847) 587-3312

306 Washington St
Ingleside, IL 60041
Phone (847) 587-3312

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X		IL	Yes

Addresses

Primary practice location

306 Washington
#237
Ingleside, IL 60041-0237

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other providers in Ingleside, IL

All providers in Ingleside, IL · Land Ambulance in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.