City of Lake Forest

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7269 Issued in IL

Legal business name

CITY OF LAKE FOREST

Practice address

255 W Deerpath Rd
Lake Forest, IL 60045-2104

Phone

(847) 615-4243

Fax

(847) 615-4382

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Rick

Title

Fire Chief

Phone

(847) 234-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lake Forest 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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1972518686",
    "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": "255 W DEERPATH RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452104",
            "telephone_number": "847-615-4243",
            "fax_number": "847-615-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAKE FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-234-2600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4922101",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "216269300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lake Forest Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Chuko, MD
• Jennifer Ciccone, NP
• Beata Ciemierzynska
• Elizabeth A Ciennik, PA-C
• Christine Maria Ciolko, RPH
• CJC Services Unlimited Inc
• Stephanie Jane Clapham, NP
• Richard J Clatch, MD PHD
• Ian D Cohen, M.D.
• Karen Elizabeth Cohen, M.S. ,LPC

• Land Ambulance in Lake Forest, IL
• Providers in Lake Forest, 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 24, 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.