Active NPI
City of Sycamore Dekalb County Illinois
- Land Ambulance
- Sycamore, IL
National Provider Identifier
1316985997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 11317
- Legal business name
- CITY OF SYCAMORE DEKALB COUNTY ILLINOIS
- Practice address
- 1351 S Prairie Dr
Sycamore, IL 60178 - Phone
- (815) 895-4514
- Fax
- (815) 895-3376
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bart Gillmore
- Title
- Fire Chief
- Phone
- (815) 895-4514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 11317 | IL | Primary |
Addresses
Primary practice location
1351 S Prairie Dr
Sycamore, IL 60178
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010914 | Other | HEALTH ALLIANCE | |
| 278738000 | Other | DOL OWCP | |
| 01922224 | Other | IL | BLUE CROSS BLUE SHIELD |
| ILSP003869 | Other | THIN | |
| 1000001928 | Other | ROCKFORD HEALTH PLANS | |
| 590006214 | Other | PALMETTO | |
| 62308 | Other | CIGNA HEALTHCARE |
Other names 1
- Sycamore Fire Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041116000402 | IL | Part B Supplier - Ambulance Service Supplier | 9830153238 | Practice locations: Sycamore, IL |
National Provider Directory
National Provider DirectoryLocations
308 W State St
Sycamore, IL 60178
535 DeKalb Ave
Sycamore, IL 60178
Phone (815) 895-4514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1316985997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 FARNAM DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543237",
"telephone_number": "877-218-4392",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 S PRAIRIE DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60178",
"telephone_number": "815-895-4514",
"fax_number": "815-895-3376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SYCAMORE DEKALB COUNTY ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "GILLMORE",
"authorized_official_first_name": "BART",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "815-895-4514",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "11317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "010914",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL OWCP",
"identifier": "278738000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01922224",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THIN",
"identifier": "ILSP003869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKFORD HEALTH PLANS",
"identifier": "1000001928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "590006214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "62308",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sycamore Fire Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.