Organization Active NPI

First Fire Protection District of Antioch Township Lake County Il

  • Ambulance
  • Antioch, IL
National Provider Identifier
1477096568
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
FIRST FIRE PROTECTION DISTRICT OF ANTIOCH TOWNSHIP LAKE COUNTY IL
Practice address
700 Deep Lake Road
Antioch, IL 60002-0000
Phone
(847) 395-6572
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Mr. Jon M Cokefair
Title
Fire Chief
Phone
(847) 395-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

700 Deep Lake Road
Antioch, IL 60002-0000

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (847) 395-2400

Other names 1

  • Antioch FPD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170510000534 IL Part B Supplier - Ambulance Service Supplier 7911284450 Practice locations: Antioch, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1477096568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253",
            "telephone_number": "847-395-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DEEP LAKE ROAD",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600020000",
            "telephone_number": "847-395-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FIRE PROTECTION DISTRICT OF ANTIOCH TOWNSHIP LAKE COUNTY IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "COKEFAIR",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-395-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch FPD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Antioch FPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.