Organization Active NPI

Addison Fire Protection District No 1

  • Land Ambulance
  • Addison, IL
National Provider Identifier
1720045099
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
87206 Issued in IL
Legal business name
ADDISON FIRE PROTECTION DISTRICT NO 1
Practice address
10 S Addison Rd
Addison, IL 60101-3870
Phone
(630) 628-3100
Fax
(630) 543-9742
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Brock Herion
Title
Fire Chief
Phone
(630) 628-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 87206 IL Primary

Addresses

Primary practice location

10 S Addison Rd
Addison, IL 60101-3870

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
022-20460OtherILBCBS OF IL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000284 IL Part B Supplier - Ambulance Service Supplier 4385700913 Practice locations: Addison, IL

National Provider Directory

National Provider Directory

Locations

100 N Rohlwing Rd
Addison, IL 60101
Phone (630) 628-3100

666 S Vista Ave
Addison, IL 60101
Phone (630) 628-3100

10 S Addison Rd
Addison, IL 60101
Phone (630) 628-3100

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1720045099",
    "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": "10 S ADDISON RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013870",
            "telephone_number": "630-628-3100",
            "fax_number": "630-543-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON FIRE PROTECTION DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "HERION",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "630-628-3100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "87206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "022-20460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.