Village of Flossmoor

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF FLOSSMOOR

Practice address

2828 Flossmoor Rd
Flossmoor, IL 60422-1156

Phone

(773) 233-1170

Fax

(773) 233-8146

NPI assigned

Dec 22, 2006

Last updated

Sep 12, 2011By 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

Mr. Chris Sewell

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1467517219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438495",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606438495",
            "telephone_number": "773-233-1170",
            "fax_number": "773-233-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 FLOSSMOOR RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221156",
            "telephone_number": "773-233-1170",
            "fax_number": "773-233-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF FLOSSMOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "773-233-1170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "590001449",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "1670560",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ILLINOIS",
            "identifier": "1670560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chun-Lei C Tsai, LIC. ACUPUNCTURIST
• Jessica Twardowksi-Deskin
• Nkechinyere Uzoma, CASE MANAGER
• Ni Van, DMD
• Aleshia Varnado
• VSH Health LLC
• Ellen Africano Wagner, CRNA
• Nancy Alice Wahlstrom, CSFA/CST
• Lisa Ann Waldroup
• Amanda Walker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.