Organization Active NPI

Village of Wheeling

  • Land Ambulance
  • Wheeling, IL
National Provider Identifier
1891728499
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
108199 Issued in IL
Legal business name
VILLAGE OF WHEELING
Practice address
2 Community Blvd
Wheeling, IL 60090-2726
Phone
(847) 459-2662
Fax
(847) 459-2976
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Mr. Robert Brian Smith
Title
Finance Director
Phone
(847) 459-2627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 108199 IL Primary

Addresses

Primary practice location

2 Community Blvd
Wheeling, IL 60090-2726

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (877) 200-1191

Other identifiers 3

IdentifierTypeStateIssuer
016-32918OtherILBCBS
629527400OtherILDOL
590015645OtherILRAILROAD MEDICARE

Other names 1

  • Wheeling Fire Department Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111227000629 IL Part B Supplier - Ambulance Service Supplier 1557537495 Practice locations: Wheeling, IL

National Provider Directory

National Provider Directory

Locations

559 McHenry Rd
Wheeling, IL 60090
Phone (847) 816-5315

499 S Milwaukee Ave
Wheeling, IL 60090
Phone (847) 459-2662

2 Community Blvd
Wheeling, IL 60090
Phone (847) 459-2662

1 Community Blvd
Wheeling, IL 60090
Phone (847) 459-2600

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1891728499",
    "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": "877-200-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMMUNITY BLVD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902726",
            "telephone_number": "847-459-2662",
            "fax_number": "847-459-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WHEELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "847-459-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "108199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016-32918",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "629527400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheeling Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.