{
"Npi": {
"NPI": "1114197332",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DALE TOWNSHIP FIRE PROTECTION DISTRICT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 547",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHEELING",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60090-0547",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-001-1918",
"MailingAddressFaxNumber": "309-682-5327",
"FirstLinePracticeLocationAddress": "10605 QUINN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHIRLEY",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61772",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "309-379-2600",
"PracticeLocationAddressFaxNumber": "309-682-5327",
"EnumerationDate": "03/04/2008",
"LastUpdateDate": "06/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBSON",
"AuthorizedOfficialFirstName": "RYAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "309-379-2600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "02 2563",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}