Active NPI
Aurora Township Fire Protection District
- Land Ambulance
- Montgomery, IL
National Provider Identifier
1578616082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7307
- Legal business name
- AURORA TOWNSHIP FIRE PROTECTION DISTRICT
- Practice address
- 599 Montgomery Rd
Montgomery, IL 60538-1729 - Phone
- (630) 898-3222
- Fax
- (630) 898-3221
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Waterman
- Title
- EMS
- Phone
- (630) 898-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7307 | IL | Primary |
Addresses
Primary practice location
599 Montgomery Rd
Montgomery, IL 60538-1729
Mailing address
1 Pierce PL Ste 750W
Itasca, IL 60143-1234
Phone (476) 780-8658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4532433 | Other | IL | BLUE CROSS BLUE SHIELD |
| 612446600 | Other | IL | DEPT OF LABOR OWCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070718000686 | IL | Part B Supplier - Ambulance Service Supplier | 9234230491 | Practice locations: Montgomery, IL |
National Provider Directory
National Provider DirectoryLocations
1312 7th Ave
Aurora, IL 60505
Phone (630) 898-3222
599 Montgomery Rd
Montgomery, IL 60538
Phone (630) 898-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1578616082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PIERCE PL STE 750W",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431234",
"telephone_number": "476-780-8658",
"fax_number": "888-464-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 MONTGOMERY RD",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605381729",
"telephone_number": "630-898-3222",
"fax_number": "630-898-3221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA TOWNSHIP FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A",
"authorized_official_last_name": "WATERMAN",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "EMS",
"authorized_official_telephone_number": "630-898-3222"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "7307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4532433",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR OWCP",
"identifier": "612446600",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.