Little Rock Fox Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

097169 Issued in IL

Legal business name

LITTLE ROCK FOX FIRE PROTECTION DISTRICT

Practice address

5 E North St
Plano, IL 60545-1529

Phone

(630) 552-3311

Fax

(630) 618-3800

NPI assigned

Jul 25, 2006

Last updated

Nov 12, 2013By 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

Mr. Gregory R Witek

Title

Fire Chief

Phone

(630) 552-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1194747188",
    "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": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E NORTH ST",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605451529",
            "telephone_number": "630-552-3311",
            "fax_number": "630-618-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK FOX FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "WITEK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-552-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "097169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04732006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014999",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kipngetich N Korir, RN
• Snehal K Kulkarni, AU.D.
• Kelly Kuntzendorf
• Robert Latham II
• Ryan D Lee, ATC
• Jacqueline Locasto
• Caroline Locker, PHARMD
• Glenda E Love, LCSW
• Ma Boule DMD PC (Boule Dental)
• Diamond Mafrtin

• Land Ambulance in Plano, IL
• Providers in Plano, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.