Village of Elk Grove Village

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8183 Issued in IL

Legal business name

VILLAGE OF ELK GROVE VILLAGE

Practice address

901 Wellington Ave
Elk Grove Village, IL 60007-3456

Phone

(847) 734-8002

Fax

(847) 734-8024

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Scott Miller

Title

Fire Chief

Phone

(847) 734-8002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elk Grove Village 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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1275552473",
    "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": "901 WELLINGTON AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073456",
            "telephone_number": "847-734-8002",
            "fax_number": "847-734-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ELK GROVE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-734-8002"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OWCP",
            "identifier": "613732300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Village Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roma H Venkatesan
• Rina Verma, MD
• Loren Versheldon, PA
• Village Eye Physicians
• Village of Elk Grove Village
• Village Smiles LLC
• Rosa Villagomez
• Allison Suzanne Villatte
• Mariah Vinson, MA
• Jay Jonathan Virchow, MD

• Land Ambulance in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.