Village of Maywood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8068 Issued in IL

Legal business name

VILLAGE OF MAYWOOD

Practice address

700 Saint Charles Rd
Maywood, IL 60153-1372

Phone

(708) 343-5595

Fax

(708) 681-8840

NPI assigned

May 27, 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

John Cadagin

Title

Fire Chief

Phone

(708) 343-5595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maywood Fire Department Other name

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861449605",
    "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": "700 SAINT CHARLES RD",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531372",
            "telephone_number": "708-343-5595",
            "fax_number": "708-681-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MAYWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CADAGIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-343-5595"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1671614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maywood Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill Judith Veselik, M.D.
• Keith Veselik, MD
• Talentshia Vethanayagamony, M.D.
• Vladimir Vidanovic, M.D.
• Frank Villa Hernandez, MD
• Vanessa Haley Villalpando
• Claudia Villar
• Monique Michelle Villasenor, CCC-SLP
• Tracy Vitantonio, CRNA
• Alexander Christoph Volk

• Land Ambulance in Maywood, IL
• Providers in Maywood, 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.
• 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.