Village of Winnetka

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8203 Issued in IL

Legal business name

VILLAGE OF WINNETKA

Practice address

428 Green Bay Rd
Winnetka, IL 60093-2528

Phone

(847) 501-6029

Fax

(847) 446-7989

NPI assigned

Jul 12, 2006

Last updated

Jun 19, 2008By 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

Scott Smith

Title

Fire Chief

Phone

(847) 501-6028

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Winnetka Fire Department Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1730114091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932528",
            "telephone_number": "847-501-6029",
            "fax_number": "847-446-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WINNETKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-501-6028"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008158",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "278740800",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1671464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnetka Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aimee Lailani Treto, BCBA
• Karen Nelson Tzanetopoulos, M.S., CCC-SLP
• James D. Vail IV, DIETITIAN
• Kenneth A Vatz, M.D.
• Village Internal Medicine, LTD
• Erin Vollmer, MS,CCC-SLP
• Janet M Voss, LCPC
• Mary Waldon, LCSW
• Walgreen Co (Walgreens #21150)
• Kristin Smith Warden, LPC

• Land Ambulance in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.