Village of Northbrook

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10 8192 Issued in IL

Legal business name

VILLAGE OF NORTHBROOK

Practice address

740 Dundee Rd
Northbrook, IL 60062

Phone

(847) 272-2141

Fax

(847) 272-3294

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Maureen K Morrissey

Title

Admin Clerk

Phone

(847) 664-4494

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Northbrook Fire Department Doing business as

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1447385257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622704",
            "telephone_number": "847-272-2141",
            "fax_number": "847-272-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-272-2141",
            "fax_number": "847-272-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NORTHBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMIN CLERK",
        "authorized_official_telephone_number": "847-664-4494"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "8192",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "10 8192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001619793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northbrook Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northbrook Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vidhee Shah DDS PLLC
• Anne M Vierling, PH.D.
• Vijay V Khilanani-MD-LLC
• Vijay Vivek Khilanani-MD-LLC
• Kaspars Vilems, D.C.
• Ulani Villanueva, RD, LDN
• Oswaldo Villarreal Jr., PHARM.D.
• Visiting Physician at Home LLC
• Vita Health Care S.C.
• Vita Home Care, Inc.

• Land Ambulance in Northbrook, IL
• Providers in Northbrook, 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 21, 2018; 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.