North Palos Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

NORTH PALOS FIRE PROTECTION DISTRICT

Practice address

10629 S Roberts Rd
Palos Hills, IL 60465-1935

Phone

(708) 974-4474

Fax

(708) 974-0626

NPI assigned

Aug 31, 2006

Last updated

Jul 10, 2013By 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

Daniel Russell

Title

Fire Chief

Phone

(708) 974-4474

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1538271192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10629 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651935",
            "telephone_number": "708-974-4474",
            "fax_number": "708-974-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10629 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651935",
            "telephone_number": "708-974-4474",
            "fax_number": "708-974-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PALOS FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-974-4474"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "000008579",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1620363",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanta Nair, M.D.
• Caitlin Nelson, SLP
• Kelly Marie Newcomb, COTA
• Nexus at Palos, LLC
• Nexus at Palos, LLC
• Kymberly Norton
• Sandra Tuzik Nowak, SLP
• Carla Olivares
• Douglas James Olson, PA-C
• Optimal Dental Palos PC

• Ambulance in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.