{
"Npi": {
"NPI": "1871528133",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VILLAGE OF WINTHROP HBR",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 6253",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAROL STREAM",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60197-6253",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-530-2988",
"MailingAddressFaxNumber": "630-832-9750",
"FirstLinePracticeLocationAddress": "830 SHERIDAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINTHROP HARBOR",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60096-1632",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-872-5957",
"PracticeLocationAddressFaxNumber": "847-872-1553",
"EnumerationDate": "07/12/2006",
"LastUpdateDate": "09/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAMPANELLA",
"AuthorizedOfficialFirstName": "ROCCO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-872-5957",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "7277",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}