Village of Winthrop HBR

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7277 Issued in IL

Legal business name

VILLAGE OF WINTHROP HBR

Practice address

830 Sheridan Rd
Winthrop Harbor, IL 60096-1632

Phone

(847) 872-5957

Fax

(847) 872-1553

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Rocco Campanella

Title

Fire Chief

Phone

(847) 872-5957

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Winthrop Harbor Fire Department Former legal business 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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1871528133",
    "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": "830 SHERIDAN RD",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961632",
            "telephone_number": "847-872-5957",
            "fax_number": "847-872-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WINTHROP HBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-872-5957"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590012633",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4920454",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winthrop Harbor Fire Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Debra N. Raquet-Safford, M.S.W., L.C.S.W.
• Jackie Lynne Schilling, RPH
• Emma Slack, MSW,LSW
• Renee Teresa Stickelman, RN
• Joan Thornton, LPN
• Winthrop Harbor Dental Center
• Winthrop Harbor School District #1

• Land Ambulance in Winthrop Harbor, IL
• Providers in Winthrop Harbor, 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.