Wauconda Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7262 Issued in IL

Legal business name

WAUCONDA FIRE DEPARTMENT

Practice address

109 W Liberty St
Wauconda, IL 60084-2453

Phone

(847) 526-2821

Fax

(847) 526-2836

NPI assigned

Jul 10, 2006

Last updated

Apr 20, 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

Dave Dato

Title

Fire Chief

Phone

(847) 526-2821

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Kyle Christensen

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wauconda, IL
  • NPI 1215627393
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1801820873",
    "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": "109 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842453",
            "telephone_number": "847-526-2821",
            "fax_number": "847-526-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUCONDA FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DATO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-526-2821"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4970712",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Wagner, MS
• Nicole Wagner, APN
• Walgreen Co (Walgreens 04277)
• Walgreens Boots Alliance
• Wauconda Cusd 118
• Wauconda Fire Protection District
• Wauconda Healthcare & Rehabilitation Centre, LLC
• Wauconda Pharmacy Inc
• Wauconda Pharmacy, Inc. (Vital Care of Wauconda)
• Wauconda Physical Therapy, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.