Village of Stickney
Organization Active NPI Ambulance · Stickney, IL
NPI 1336204841 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1336204841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- VILLAGE OF STICKNEY
- Practice address
- 6433 43Rd St
Stickney, IL 60402-4417 - Phone
- (773) 233-1170
- Fax
- (773) 233-8146
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Glenn Boyajian
- Title
- Fire Chief
- Phone
- (708) 795-6333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000847 | IL | Part B Supplier - Ambulance Service Supplier | 9830357763 | Practice locations: Stickney, IL |
National Provider Directory
Locations
6533 Pershing Rd
Stickney, IL 60402
Phone (708) 749-4400
6433 43rd St
Stickney, IL 60402
Phone (708) 795-6333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | IL | Yes |
Addresses
Primary practice location
6433 43Rd St
Stickney, IL 60402-4417
Mailing address
PO Box 1368
Elmhurst, IL 60126-8368
Phone (630) 530-2988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1636186 | Other | IL | HMO ILLINOIS |
| 590013736 | Other | IL | RAILROAD RETIREMENT |
| 1636186 | Other | IL | BC BS OF ILLINOIS |
Other providers in Stickney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.