Marengo Rescue Squad District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1706934 Issued in IL

Legal business name

MARENGO RESCUE SQUAD DISTRICT

Practice address

120 E Prairie St
Marengo, IL 60152-3128

Phone

(815) 568-8912

Fax

(815) 568-8920

NPI assigned

May 22, 2006

Last updated

Oct 9, 2026By 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

Jodi Wightman

Title

Deputy Treasurer

Phone

(815) 568-8912

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1225083199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E PRAIRIE ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523128",
            "telephone_number": "815-568-8912",
            "fax_number": "815-568-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E PRAIRIE ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523128",
            "telephone_number": "815-568-8912",
            "fax_number": "815-568-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENGO RESCUE SQUAD DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "WIGHTMAN",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DEPUTY TREASURER",
        "authorized_official_telephone_number": "815-568-8912"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1706934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5615142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana Paz DDS PLLC
• Marengo Community Pharmacy Inc
• Marengo Dental
• Marengo Occupational Therapy Services, Inc
• Marengo Physical Therapy, Inc. (CORA Physical Therapy - Marengo)
• Marengo School District 154
• Marengo Vision Center, P.C.
• Marengo-Union Elementary Consolidated School District 165
• Marnul Eye Care, P.C.
• Paul Allen Marnul, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.