NORTHLAKE FIRE PROTECTION DISTRICT (NPI# 1508876160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508876160 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE FIRE PROTECTION DISTRICT |
| Practice Address |
118 Parkview Dr Northlake IL 60164-2239 |
| Mailing Address |
395 West Lake Street Attn: Kimberly Fuller Elmhurst IL 60126-1508 |
| Practice Telephone | 7085623182 |
| Practice Fax Number | 7085623193 |
| Mailing Telephone | 6309032372 |
| Mailing Fax Number | 6309032830 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | MR. ROBERT W. HJELMGREN (FIRE CHIEF) |
| Authorized Official Telephone | 7085623182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
88071 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 016-70248 | 01 |
| IL | RAILROAD MEDICARE | 590002923 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHLAKE FIRE PROTECTION DISTRICT | 118 Parkview Dr, Melrose Park, IL 60164-2239 |
| Street Address |
118 PARKVIEW DR |
| City | NORTHLAKE |
| State | IL |
| Zip Code | 60164-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625892 | Bazartogtokh Bayar | Technician | 2248 Calwagner Ave, Melrose Park, IL 60164 | 2019-08-22 |
| 1669809752 | Murry W Randell | Dentist | 338 E North Av, Northlake, IL 60164 | 2013-10-03 |
| 1023002318 | Presence Senior Services Chicagoland | Skilled Nursing Facility | 480 N Wolf Rd, North Lake, IL 60164 | 2005-09-01 |
| 1912165325 | Northlake Dental Clinic PC | Dentist | 161 E North Ave, Northlake, IL 60164 | 2008-06-02 |
| 1679658132 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164 | 2006-10-25 |
| 1932584059 | Vishali Banathia | Pharmacist | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2015-07-30 |
| 1821546938 | Anoop Banathia | Registered Nurse | 2912 Marion Ave, Melrose Park, IL 60164-1002 | 2016-09-18 |
| 1356596670 | Monica Saavedra-kulousek | Psychologist | 916 N Prater Ave, Melrose Park, IL 60164-1111 | 2008-12-01 |
| 1851644249 | Anjelica Sierra | Speech-Language Pathologist | 2944 Haber Ave, Melrose Park, IL 60164-1132 | 2012-10-22 |
| 1174910632 | Ellen Locke | Social Worker | 1000 N Wolf Rd, Northlake, IL 60164-1438 | 2015-04-22 |
| Find all providers in zip 60164 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1306468871 | Germantown Fire Protection District | Ambulance | 313 Prairie Ave, Germantown Hills, IL 61548-9290 | 2020-05-07 |
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| 1134776859 | Preferred Ambulance LLC | Ambulance | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | 2019-08-19 |
| 1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1033615307 | Bridget Mangan | Ambulance | 3559 W 101st St, Evergreen Park, IL 60805-3708 | 2018-04-04 |
| 1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
| 1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.