City of Chicago Heights

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

78153 Issued in IL

Legal business name

CITY OF CHICAGO HEIGHTS

Practice address

83 E Joe Orr Rd
Chicago Heights, IL 60411-1223

Phone

(708) 756-5370

Fax

(708) 756-5358

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

David A Gonzalez

Title

Mayor

Phone

(708) 656-3600

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1144395864",
    "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": "83 E JOE ORR RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111223",
            "telephone_number": "708-756-5370",
            "fax_number": "708-756-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICAGO HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "708-656-3600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "78153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0967077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1617344",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY",
            "identifier": "N288251",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "202473",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "20886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Heights Pain Center, P.C.
• Chicago Heights School District 170
• Chicago Heights SLF, LLC (Prairie Green at Dixie Crossing)
• Chicago Vamc
• Yang K Chun, M.D.
• Cobb Medical LLC
• Nyerere Wert Cobb
• Gregg S Coccaro, M.D.
• Fairouz Carpizo Codina, M.D.
• Mario Cole

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.