MEDICARE: AURORA TOWNSHIP FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	7307	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4532433	OTHER	IL	BLUE CROSS BLUE SHIELD
2	612446600	OTHER	IL	DEPT OF LABOR OWCP

General Provider Information

NPI Number	:	1578616082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA TOWNSHIP FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	1 PIERCE PL STE 750W
Second Line	:
City	:	ITASCA
State	:	IL
Zip	:	60143-1234
Country	:	US
Telephone Number	:	476-780-8658
Fax Number	:	888-464-4429

Provider Business Practice Location Address
First Line	:	599 MONTGOMERY RD
Second Line	:
City	:	MONTGOMERY
State	:	IL
Zip	:	60538-1729
Country	:	US
Telephone Number	:	630-898-3222
Fax Number	:	630-898-3221

Authorized Official
Title or Position	:	EMS
Name	:	JODI WATERMAN
Credential	:
Telephone Number	:	630-898-3222

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/31/2025

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