Elburn & Countryside Fire Protection District
Organization Active NPI Land Ambulance · Elburn, IL
NPI 1457370652 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1457370652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 7230 (IL)
- Legal business name
- ELBURN & COUNTRYSIDE FIRE PROTECTION DISTRICT
- Practice address
- 200 East Route 38
Elburn, IL 60119-8811 - Phone
- (630) 365-6855
- Fax
- (630) 365-5887
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Huneke
- Title
- Chief
- Phone
- (630) 465-9272
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060104000263 | IL | Part B Supplier - Ambulance Service Supplier | 0547283632 | Practice locations: Elburn, IL; Maple Park, IL |
National Provider Directory
Locations
39W950 Hughes Rd
Elburn, IL 60119
Phone (630) 365-6855
210 E North St
Elburn, IL 60119
Phone (630) 365-6855
200 State Route 38
Elburn, IL 60119
Phone (630) 365-6855
5N276 Wooley Rd
Maple Park, IL 60151
Phone (630) 365-6855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7230 | IL | Yes |
Addresses
Primary practice location
200 East Route 38
Elburn, IL 60119-8811
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (743) 264-2420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590028268 | Other | IL | RR MEDICARE |
| ========= | Other | IL | TRICARE NORTH |
| 4532083 | Other | IL | BCBS |
| ========= | Medicaid | IL |
Other names
- Elburn Ambulance Service
Other providers in Elburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.