Village of Chicago Ridge

Primary specialty

AmbulanceTaxonomy code 341600000X

License

817401 Issued in IL

Legal business name

VILLAGE OF CHICAGO RIDGE

Practice address

10063 Virginia
Chicago Ridge, IL 60415-1382

Phone

(708) 857-4454

Fax

(773) 233-8146

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Barbara M Harrison

Title

Village Clerk

Phone

(708) 425-7700

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1285798686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 S. RIDGELAND",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151513",
            "telephone_number": "708-425-7700",
            "fax_number": "773-233-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10063 VIRGINIA",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151382",
            "telephone_number": "708-857-4454",
            "fax_number": "773-233-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CHICAGO RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VILLAGE CLERK",
        "authorized_official_telephone_number": "708-425-7700"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "817401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ILLINOIS",
            "identifier": "1636181",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "590003513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "1636181",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• 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.