Village of Wilmette

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8202 Issued in IL

Legal business name

VILLAGE OF WILMETTE

Practice address

1304 Lake Ave
Wilmette, IL 60091-1664

Phone

(847) 251-2700

Fax

(847) 853-7642

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

John Robberson

Title

Fire Chief

Phone

(847) 251-2700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Wilmette Fire Department Other name

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1205855707",
    "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": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911664",
            "telephone_number": "847-251-2700",
            "fax_number": "847-853-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WILMETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "ROBBERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-251-2700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632895",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590015238",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "611708300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmette Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allison Field Vanhorn, ATC
• Axel Vargas, M.D.
• Lisa Verderber
• Victoria Y. Hass PHD, PLLC
• Village Dermatology, SC
• Village of Wilmette
• Kannan Vinaitheerthan, LCSW
• Viridian Medical Group, PLLC
• Vital Balance Psychiatry PLLC
• Emily Vo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.