Organization Active NPI

Shiloh Ambulance and Medivan Services Inc

  • Land Ambulance
  • Chicago, IL
National Provider Identifier
1326405077
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11 142802 Issued in IL
Legal business name
SHILOH AMBULANCE AND MEDIVAN SERVICES INC
Practice address
1900 N Austin Ave
Chicago, IL 60639-5010
Phone
(815) 260-7017
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Esther Okwudili-Chukwurah
Title
Owner
Phone
(815) 260-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11 142802 IL Primary

Addresses

Primary practice location

1900 N Austin Ave
Chicago, IL 60639-5010

Mailing address

429 N Weber Rd
Suite 256
Romeoville, IL 60446-3902
Phone (815) 260-7017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1326405077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N WEBER RD",
            "address_2": "SUITE 256",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463902",
            "telephone_number": "815-260-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "815-260-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH AMBULANCE AND MEDIVAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "OKWUDILI-CHUKWURAH",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-260-7017"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "11 142802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.