Organization Active NPI

City of Highland Park

  • Land Ambulance
  • Highland Park, IL
National Provider Identifier
1295740736
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
107258 Issued in IL
Legal business name
CITY OF HIGHLAND PARK
Practice address
1130 Central Ave
Highland Park, IL 60035-3299
Phone
(847) 433-3110
Fax
(847) 432-0699
NPI assigned
Jul 31, 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
Joseph Schrage
Title
Fire Chief
Phone
(847) 926-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 107258 IL Primary

Addresses

Primary practice location

1130 Central Ave
Highland Park, IL 60035-3299

Mailing address

PO Box 1368
Elmhurst, IL 60126-8368
Phone (630) 530-2988

Other identifiers 2

IdentifierTypeStateIssuer
590001527OtherILRAILROAD MEDICARE
049-70559OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000405 IL Part B Supplier - Ambulance Service Supplier 8921155441 Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

692 Burton Ave
Highland Park, IL 60035
Phone (847) 432-0802

1130 Central Ave
Highland Park, IL 60035
Phone (312) 433-3110

1100 Half Day Rd
Highland Park, IL 60035
Phone (847) 432-0804

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1295740736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601268368",
            "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": "1130 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353299",
            "telephone_number": "847-433-3110",
            "fax_number": "847-432-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HIGHLAND PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SCHRAGE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "847-926-1067"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "107258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001527",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "049-70559",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, 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.