Fox River Grove Fire Protection District
Organization Active NPI Land Ambulance · Fox River Grove, IL
NPI 1477576833 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1477576833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 7152 (IL)
- Legal business name
- FOX RIVER GROVE FIRE PROTECTION DISTRICT
- Practice address
- 411 Algonquin Rd
Fox River Grove, IL 60021-1411 - Phone
- (847) 639-9232
- Fax
- (847) 639-3336
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Kreher
- Title
- Fire Chief
- Phone
- (847) 639-9232
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120307000650 | IL | Part B Supplier - Ambulance Service Supplier | 2163681362 | Practice locations: Fox River Grove, IL |
National Provider Directory
Locations
400 Lucille Ave
Fox River Grove, IL 60021
Phone (847) 639-9232
411 Algonquin Rd
Fox River Grv, IL 60021
Phone (847) 639-9232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7152 | IL | Yes |
Addresses
Primary practice location
411 Algonquin Rd
Fox River Grove, IL 60021-1411
Mailing address
411 Algonquin Rd
Fox River Grove, IL 60021-1411
Phone (847) 639-9232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5623716 | Other | IL | BCBS |
Other providers in Fox River Grove, IL
- Shannon Dunn
- Katherine Edwards
- Ela Home Care
- Kerry Anne Fallon
- Fox River Grove Cons SD 3
- Samantha France
- Rachelle D Hardy
- Erin Rebecca Hord
- Robert J Hoshizaki
- James E Hutchins
All providers in Fox River Grove, IL · Land Ambulance in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. 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.