Organization Active NPI

Northlake Fire Protection District

  • Land Ambulance
  • Northlake, IL
National Provider Identifier
1508876160
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
88071 Issued in IL
Legal business name
NORTHLAKE FIRE PROTECTION DISTRICT
Practice address
118 Parkview Dr
Northlake, IL 60164-2239
Phone
(708) 562-3182
Fax
(708) 562-3193
NPI assigned
Aug 8, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Paul Feldmann
Title
Fire Chief
Phone
(708) 562-3183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 88071 IL Primary

Addresses

Primary practice location

118 Parkview Dr
Northlake, IL 60164-2239

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other identifiers 2

IdentifierTypeStateIssuer
016-70248OtherILBCBS
590002923OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080202000045 IL Part B Supplier - Ambulance Service Supplier 3678655313 Practice locations: Northlake, IL

National Provider Directory

National Provider Directory

Locations

118 Parkview Dr
Northlake, IL 60164
Phone (708) 562-3182

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1508876160",
    "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": "630-530-2988",
            "fax_number": "630-832-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARKVIEW DR",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642239",
            "telephone_number": "708-562-3182",
            "fax_number": "708-562-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FELDMANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-562-3183"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016-70248",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590002923",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northlake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.