Active NPI
Freedom EMS LLC
- Ambulance
- Shorewood, IL
National Provider Identifier
1972989929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- FREEDOM EMS LLC
- Practice address
- 612 S Edgewater LN
Shorewood, IL 60404-9540 - Phone
- (815) 274-1279
- NPI assigned
- Jul 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph T Spiker
- Title
- Owner/President
- Phone
- (815) 274-1279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | IL | Primary |
Addresses
Primary practice location
612 S Edgewater LN
Shorewood, IL 60404-9540
Mailing address
612 S Edgewater LN
Shorewood, IL 60404-9540
Phone (815) 926-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151027001047 | IL | Part B Supplier - Ambulance Service Supplier | 1557670866 | Practice locations: Shorewood, IL |
National Provider Directory
National Provider DirectoryLocations
902 E Baltimore St
Wilmington, IL 60481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1972989929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S EDGEWATER LN",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604049540",
"telephone_number": "815-926-2022",
"fax_number": "815-926-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S EDGEWATER LN",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604049540",
"telephone_number": "815-274-1279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-31",
"last_updated": "2023-09-08",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "SPIKER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "815-274-1279"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.