# VILLAGE OF WINNETKA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winnetka Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730114091
- **Authorized official:** SCOTT SMITH (FIRE CHIEF)
- **Authorized official phone:** (847) 501-6028

## Contact information

- **Practice address:** 428 GREEN BAY RD, WINNETKA, IL 60093-2528
- **Practice address phone:** (847) 501-6029
- **Practice address fax:** (847) 446-7989
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-7967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 8203 | IL | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1671464 | BCBS | IL |
| 01 | — | 278740800 | DOL OWCP | IL |
| 01 | — | 590008158 | RR MEDICARE | IL |