Village of Oak Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88075 Issued in IL

Legal business name

VILLAGE OF OAK PARK

Practice address

100 N Euclid Ave
Oak Park, IL 60301-1404

Phone

(708) 358-5602

Fax

(708) 383-2495

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Ebsen

Title

Fire Chief

Phone

(708) 358-5602

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1164432654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-530-2372",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EUCLID AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011404",
            "telephone_number": "708-358-5602",
            "fax_number": "708-383-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OAK PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "EBSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-358-5602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016-17059",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590004925",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VHS West Suburban Medical Center Inc
• VHS West Suburban Medical Center Inc
• Vibrant Minds Inc
• Alicia Villa, FNP-BC
• Village Eye Physicians LTD
• Village of Oak Park, Dept. of Public Health
• Village Radiology LTD
• Village Sleep Center Inc
• Dovie Jean Villalobos, LSW
• Karen Villanueva, ALMFT

• Land Ambulance in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.