Organization Active NPI

Village of Skokie

  • Public Health or Welfare Agency
  • Skokie, IL
National Provider Identifier
1083786339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VILLAGE OF SKOKIE
Practice address
5127 Oakton St
Skokie, IL 60077-3633
Phone
(847) 933-8252
Fax
(847) 673-8606
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lowell Huckleberry, MPH
Title
Director of Health
Phone
(847) 933-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

5127 Oakton St
Skokie, IL 60077-3633

Mailing address

5127 Oakton St
Skokie, IL 60077-3633
Phone (847) 933-8252

Other names 1

  • Skokie Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000599 IL Part B Supplier - Mass Immunization (Roster Biller Only) 9537237565 Practice locations: Skokie, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Skokie Health Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9024 Gross Point Rd
Skokie, IL 60077
Phone (847) 982-5320

8157 Central Park Ave
Skokie, IL 60076
Phone (847) 982-5320

7424 Niles Center Rd
Skokie, IL 60077
Phone (847) 982-5320

5127 Oakton St
Skokie, IL 60077
Phone (847) 933-8252

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083786339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773633",
            "telephone_number": "847-933-8252",
            "fax_number": "847-673-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773633",
            "telephone_number": "847-933-8252",
            "fax_number": "847-673-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SKOKIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUCKLEBERRY",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "847-933-8252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skokie Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.