Healthcare Provider Details

I. General information

NPI: 1871528133
Provider Name (Legal Business Name): VILLAGE OF WINTHROP HBR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SHERIDAN RD
WINTHROP HARBOR IL
60096-1632
US

IV. Provider business mailing address

PO BOX 6253
CAROL STREAM IL
60197-6253
US

V. Phone/Fax

Practice location:
  • Phone: 847-872-5957
  • Fax: 847-872-1553
Mailing address:
  • Phone: 630-530-2988
  • Fax: 630-832-9750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number7277
License Number StateIL

VIII. Authorized Official

Name: ROCCO CAMPANELLA
Title or Position: FIRE CHIEF
Credential:
Phone: 847-872-5957