Mazon Verona Kinsman Rescue Squad District
Ambulance, Land Transport in Mazon, IL. Organization (NPI-2).
NPI number1083136261
StatusActive
Last updated in NPPESNov 10, 2026
Details
- NPI
- 1083136261
- Entity type
- Organization (NPI-2)
- Legal business name
- Mazon Verona Kinsman Rescue Squad District
- Organization subpart
- No
- Enumeration date
- Jul 10, 2017
- Certification date
- Nov 10, 2026
- Last updated
- Nov 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
Practice location
604 Front StMazon, IL 60444000
Phone 815-448-2134 · Fax 815-448-2302
Mailing address
Po Box 6253Carol Stream, IL 60197-6253
Authorized official
Jeff Marques
Board President
8152282488
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