Organization Active NPI

Itasca Fire Protection District No 1

  • Land Ambulance
  • Itasca, IL
National Provider Identifier
1235188152
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
97104 Issued in IL
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

Updated by the provider on Sep 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022-20910OtherILBLUE CROSS BLUE SHIELD
590013623OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000122 IL Part B Supplier - Ambulance Service Supplier 7113085903 Practice locations: Itasca, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.