Peotone Fire Protection Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

78366 Issued in IL

Legal business name

PEOTONE FIRE PROTECTION DIST

Practice address

395 W Lake St
Elmhurst, IL 60126-1508

Phone

(630) 530-2988

Fax

(630) 903-2830

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Schreiber

Title

Fire Chief

Phone

(708) 258-6884

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1467549527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-903-2372",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-530-2988",
            "fax_number": "630-903-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOTONE FIRE PROTECTION DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-258-6884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "78366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990013651",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09970756",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alessandra Araceli Pedroza
• Robert L. Peiss, M.D.
• Marijan Pejic, MD
• Christopher Pek
• Jane Pelosi-Kelly, APN-CNP
• Colin Pereira-Webber, A.M.
• Yessica Perez, COTA/L
• Perrichair LLC
• Christina Perrone
• Mayteah Perry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.