City of Waukegan Illinois

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7275 Issued in IL

Legal business name

CITY OF WAUKEGAN ILLINOIS

Practice address

1101 Belvidere St
Waukegan, IL 60085-6201

Phone

(847) 249-5410

Fax

(847) 249-5607

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Gregg Paiser

Title

Fire Chief

Phone

(847) 625-6333

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Waukegan Fire Department Doing business as

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1891729869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601268368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BELVIDERE ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856201",
            "telephone_number": "847-249-5410",
            "fax_number": "847-249-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAUKEGAN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "PAISER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-625-6333"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4920251",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013130",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OFFICE OF WORKER COMP",
            "identifier": "614345800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waukegan Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Robert Chulengarian, DPM
• Jisun Rebecca Chung
• Kelli A Ciolek
• Circle of Care
• Elisa Cisneros
• Jerome Clark
• Julia Elizabeth Cleary
• Elena L Clements, RN
• Michelle C Clements, LPC
• Morgan Alexandria Cleveland

• Land Ambulance in Waukegan, IL
• Providers in Waukegan, 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 3, 2026; 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.