Village of South Chicago Heights

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF SOUTH CHICAGO HEIGHTS

Practice address

3317 Chicago Road
South Chicago Heights, IL 60411-4815

Phone

(708) 755-1880

Fax

(708) 755-7186

NPI assigned

Jun 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Vlietstra

Title

Fire Chief

Phone

(708) 755-9589

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• South Chicago Heights Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1033153325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-530-2988",
            "fax_number": "630-832-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 CHICAGO ROAD",
            "city": "SOUTH CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114815",
            "telephone_number": "708-755-1880",
            "fax_number": "708-755-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SOUTH CHICAGO HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "VLIETSTRA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-755-9589"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8923",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9930119",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013880",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Chicago Heights Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Chicago Heights Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Smith-Barnes
• Tomiko L Smith
• Jalai Swope
• Crystal Throne, PHARMD
• Tiffany Lynn Townsel, LPN
• Matthew James Wagner, PHARMD
• Walgreen Co (Walgreens #5086)
• Mahir Zegar, PHARMD

• Ambulance in South Chicago Heights, IL
• Providers in South Chicago Heights, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.

Verify at the official NPI Registry.