City of Crystal Lake

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7140 Issued in IL

Legal business name

CITY OF CRYSTAL LAKE

Practice address

100 W Woodstock St
Crystal Lake, IL 60014-4262

Phone

(815) 459-2020

Fax

(815) 477-2568

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Craig Snyder

Title

Fire Chief

Phone

(815) 459-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Crystal Lake Emergency Former legal business name
• CRYSTAL LAKE FIRE RESCUE 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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1366469215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PIERCE PL STE 750W",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431234",
            "telephone_number": "847-678-0865",
            "fax_number": "888-464-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W WOODSTOCK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144262",
            "telephone_number": "815-459-2020",
            "fax_number": "815-477-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRYSTAL LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "815-459-2020"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004531041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5670002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590028206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lake Emergency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Crystal Lake Emergency",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CRYSTAL LAKE FIRE RESCUE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madison Chudik
• Sandeep Chunduri, MD
• Juliana Yong Hae Chyu, M.D.
• Julie Ciero, M.S.SLP,CCC-L
• Katelyn P Ciszon, SLP/L
• CL Pharmacy LLC
• CL-Surgi Center, SC
• Claire L Brown LCSW PC
• Joan Kay Clark
• Makayla Marie Clauss, PTA

• Land Ambulance in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Land Ambulance in Illinois

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