Active NPI
Itasca Fire Protection District No 1
- Land Ambulance
- Itasca, IL
National Provider Identifier
1235188152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 97104
- Legal business name
- ITASCA FIRE PROTECTION DISTRICT NO 1
- Practice address
- 520 W Irving Park Rd
Itasca, IL 60143-2018 - Phone
- (630) 773-1223
- Fax
- (630) 773-3381
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Schneidwind
- Title
- Fire Chief
- Phone
- (630) 773-1240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 97104 | IL | Primary |
Addresses
Primary practice location
520 W Irving Park Rd
Itasca, IL 60143-2018
Mailing address
PO Box 1368
Elmhurst, IL 60126-8368
Phone (630) 530-2988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022-20910 | Other | IL | BLUE CROSS BLUE SHIELD |
| 590013623 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081023000122 | IL | Part B Supplier - Ambulance Service Supplier | 7113085903 | Practice locations: Itasca, IL |
National Provider Directory
National Provider DirectoryLocations
520 W Irving Park Rd
Itasca, IL 60143
Phone (630) 773-1223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1235188152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601268368",
"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": "520 W IRVING PARK RD",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432018",
"telephone_number": "630-773-1223",
"fax_number": "630-773-3381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITASCA FIRE PROTECTION DISTRICT NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "SCHNEIDWIND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "630-773-1240"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "97104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "022-20910",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590013623",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.