Active NPI
Paramedic Services of Illinois Inc
- Ambulance
- Itasca, IL
National Provider Identifier
1063479632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 894401
- Legal business name
- PARAMEDIC SERVICES OF ILLINOIS INC
- Practice address
- 1 Pierce PL Ste 750W
Itasca, IL 60143-1234 - Phone
- (847) 678-4900
- NPI assigned
- Apr 27, 2006
- Last updated
- Jan 19, 2023
- 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
- Ms. Mary Field
- Title
- President
- Phone
- (847) 678-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 894401 | IL | Primary |
Addresses
Primary practice location
1 Pierce PL Ste 750W
Itasca, IL 60143-1234
Mailing address
9815 Lawrence Ave
Schiller Park, IL 60176-1125
Phone (847) 678-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01620086 | Other | IL | BLUECROSS |
| 590003882 | Other | IL | RR 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 |
|---|---|---|---|---|
| O20091201000195 | IL | Part B Supplier - Ambulance Service Supplier | 2769370667 |
1 other NPI on this enrollment Practice locations: Clinton, IL; Itasca, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Paramedic Services of I
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Itasca, IL
- NPI 1336637248
-
- Ambulance
- Clinton, IL
- NPI 1891030524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1063479632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 LAWRENCE AVE",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601761125",
"telephone_number": "847-678-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PIERCE PL STE 750W",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431234",
"telephone_number": "847-678-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMEDIC SERVICES OF ILLINOIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "FIELD",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-678-4900",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "894401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "01620086",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590003882",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.