Channahon Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

77126 Issued in IL

Legal business name

CHANNAHON FIRE PROTECTION DISTRICT

Practice address

24929 S Center St
Channahon, IL 60410-5009

Phone

(630) 530-2988

Fax

(630) 903-2830

NPI assigned

Jul 30, 2006

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn M Arnold

Title

Executive Fire Support Manager

Phone

(815) 467-6767

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1396750147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24929 S CENTER ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105009",
            "telephone_number": "630-530-2988",
            "fax_number": "630-903-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNAHON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE FIRE SUPPORT MANAGER",
        "authorized_official_telephone_number": "815-467-6767"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "77126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09923215",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590013850",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "611797900",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Burns, LCSW
• Regina Burrs, LSW
• Karli Carter, SLP
• Nuzhat Chalisa, MD
• Channahon Dui Services, LLC
• Channahon Home Dialysis, LLC
• Channahon Ranch Pharmacy Inc
• Channahon School District 17
• Scott P Ciechna, M.D.
• Maryann Cook, M.A., L.C.P.C.

• Land Ambulance in Channahon, IL
• Providers in Channahon, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.