Provider Demographics
NPI:1578616082
Name:AURORA TOWNSHIP FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:AURORA TOWNSHIP FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-898-3222
Mailing Address - Street 1:1 PIERCE PL STE 750W
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-1234
Mailing Address - Country:US
Mailing Address - Phone:476-780-8658
Mailing Address - Fax:888-464-4429
Practice Address - Street 1:599 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-1729
Practice Address - Country:US
Practice Address - Phone:630-898-3222
Practice Address - Fax:630-898-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL73073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4532433OtherBLUE CROSS BLUE SHIELD
IL612446600OtherDEPT OF LABOR OWCP
IL=========001Medicaid
IL=========OtherTRICARE HEALTH NET
ILP00424025Medicare PIN
IL215266Medicare PIN