Lemont Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LEMONT FIRE PROTECTION DISTRICT

Practice address

15900 New Ave
Lemont, IL 60439-2602

Phone

(773) 233-1170

Fax

(773) 233-8146

NPI assigned

Dec 28, 2006

Last updated

Dec 11, 2012By 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

Carl Churulo

Title

Fire Chief

Phone

(773) 233-1170

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1417013004",
    "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": "15900 NEW AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392602",
            "telephone_number": "773-233-1170",
            "fax_number": "773-233-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONT FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "CHURULO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "773-233-1170"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ILLINOIS",
            "identifier": "1670934",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "590012769",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "1670934",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lemont Chiropractic Center PC
• Lemont Dental Clinic
• Lemont Family Dental LTD
• Lemont Family Dental, LTD
• Lemont Family Health Center, LTD.
• Lemont Medical SC
• Lemont Nursing and Rehabilitation Center, LLC
• Lemont Primary Care, SC
• Lemont Township District 210
• Andrea Johanne Molen Lena

• Ambulance in Lemont, IL
• Providers in Lemont, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.