Greater Round Lake Fire Protection

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

107274 Issued in IL

Legal business name

GREATER ROUND LAKE FIRE PROTECTION

Practice address

409 W Nippersink Rd
Round Lake, IL 60073-3223

Phone

(847) 546-6001

Fax

(847) 546-0758

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Marilee Lucassen

Title

Administrative Assistant

Phone

(847) 546-6001

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1588751598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W NIPPERSINK RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733223",
            "telephone_number": "847-546-6001",
            "fax_number": "847-546-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W NIPPERSINK RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733223",
            "telephone_number": "847-546-6001",
            "fax_number": "847-546-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ROUND LAKE FIRE PROTECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "LUCASSEN",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "847-546-6001"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "107274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04990005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791590040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guillermina Figueroa, LCP
• Fresenius Medical Care Lake County, LLC (Fresenius Medical Care Round Lake)
• Michael Gleason, LCP
• Globus Group, Inc
• Ernesto Gonzalez
• Kimberly Grotelueschen
• Lauren Grunwald
• Amy Gunsaullus, SLP
• Imelda Carmela Bueno Gurdiel, PHYSICAL THERAPIST
• Cassandra Hansen, RDN

• Land Ambulance in Round Lake, IL
• Providers in Round Lake, IL by specialty
• Land Ambulance in Illinois

• 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.