Lake Zurich Rural Fire Protection Distr

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

097260 Issued in IL

Legal business name

LAKE ZURICH RURAL FIRE PROTECTION DISTR

Practice address

321 S Buesching Rd
Lake Zurich, IL 60047-2535

Phone

(847) 540-5070

Fax

(847) 540-0165

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Terry Mastandria

Title

Fire Chief

Phone

(847) 540-5070

Specialties & licenses 1

Addresses

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": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1376835850",
    "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": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S BUESCHING RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472535",
            "telephone_number": "847-540-5070",
            "fax_number": "847-540-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ZURICH RURAL FIRE PROTECTION DISTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MASTANDRIA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-540-5070"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "097260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Zurich Open MRI, LLC
• Lake Zurich Optical Care LLC
• Lake Zurich Orthodontics LLC
• Lake Zurich Physical Medicine, SC
• Lake Zurich Podiatry PC (Lake Zurich Foot Clinic)
• Lake Zurich Skilled Nursing Facility LLC (Avantara Lake Zurich)
• Lake Zurich Wellness Group
• Kris Lalas, RN, BSN
• Steven Alan Landman, D.D.S.
• Amy Lappin, PHDH, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.