Wauconda Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7262 Issued in IL

Legal business name

WAUCONDA FIRE PROTECTION DISTRICT

Practice address

109 W Liberty St
Wauconda, IL 60084-2453

Phone

(847) 526-2821

Fax

(847) 526-2836

NPI assigned

Oct 31, 2007

Last updated

Aug 27, 2009By 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

David Dato

Title

Fire Chief

Phone

(847) 526-2821

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1881873479",
    "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": "847-577-3518"
        },
        {
            "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 PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "DATO",
        "authorized_official_first_name": "DAVID",
        "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": "1881873479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 27, 2009; 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.