Active NPI
Oakbrook Terrace Fire Protection District
- Land Ambulance
- Oakbrook Terrace, IL
National Provider Identifier
1013914852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- OAKBROOK TERRACE FIRE PROTECTION DISTRICT
- Practice address
- 17W400 Butterfield Rd
Oakbrook Terrace, IL 60181-4045 - Phone
- (630) 834-2759
- Fax
- (630) 834-1085
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory J. Sebesta
- Title
- Finance Director
- Phone
- (630) 834-2759
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
17W400 Butterfield Rd
Oakbrook Terrace, IL 60181-4045
Mailing address
PO Box 3366
Oak Brook, IL 60522-3366
Phone (630) 275-4050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2219419 | Other | IL | BCBS OF IL |
| 590008490 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120201000871 | IL | Part B Supplier - Ambulance Service Supplier | 0547427692 | Practice locations: Oakbrook Terrace, IL |
National Provider Directory
National Provider DirectoryLocations
17W400 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 834-2759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1013914852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3366",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605223366",
"telephone_number": "630-275-4050",
"fax_number": "630-275-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17W400 BUTTERFIELD RD",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601814045",
"telephone_number": "630-834-2759",
"fax_number": "630-834-1085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKBROOK TERRACE FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "SEBESTA",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "630-834-2759",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "2219419",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590008490",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.