Organization Active NPI

Village of Oak Lawn

  • Land Ambulance
  • Oak Lawn, IL
National Provider Identifier
1124067541
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
8163 Issued in IL
Legal business name
VILLAGE OF OAK LAWN
Practice address
6451 W 93Rd PL
Oak Lawn, IL 60453-2236
Phone
(708) 499-7700
Fax
(708) 598-3092
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
George Sheets
Title
Fire Chief
Phone
(708) 499-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 8163 IL Primary

Addresses

Primary practice location

6451 W 93Rd PL
Oak Lawn, IL 60453-2236

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other identifiers 2

IdentifierTypeStateIssuer
1670036OtherILBCBS
791590128OtherILRR MEDICARE

Other names 1

  • Oak Lawn Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000349 IL Part B Supplier - Ambulance Service Supplier 5890709216 Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory
Tax ID family
Village of Oak Lawn2 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

9446 Raymond Ave
Oak Lawn, IL 60453
Phone (708) 499-7704

4401 W 103rd St
Oak Lawn, IL 60453
Phone (708) 499-7810

6451 W 93rd Pl
Oak Lawn, IL 60453
Phone (708) 499-7700

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1124067541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253",
            "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": "6451 W 93RD PL",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532236",
            "telephone_number": "708-499-7700",
            "fax_number": "708-598-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OAK LAWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-499-7700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1670036",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "791590128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Lawn Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • 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.