Active NPI
City of Oak Forest
- Ambulance
- Oak Forest, IL
National Provider Identifier
1346304342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 815802
- Legal business name
- CITY OF OAK FOREST
- Practice address
- 15440 Central Ave
Oak Forest, IL 60452-2104 - Phone
- (773) 233-1170
- Fax
- (773) 233-8146
- NPI assigned
- Dec 21, 2006
- Last updated
- Dec 10, 2019
- 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. Terry Lipinski
- Title
- Fire Chief
- Phone
- (773) 233-1170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 815802 | IL | Primary |
Addresses
Primary practice location
15440 Central Ave
Oak Forest, IL 60452-2104
Mailing address
PO Box 1053
Mokena, IL 60448-2052
Phone (708) 478-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120302000203 | IL | Part B Supplier - Ambulance Service Supplier | 8022277573 | Practice locations: Oak Forest, IL |
National Provider Directory
National Provider DirectoryLocations
15440 Central Ave
Oak Forest, IL 60452
4907 167th St
Oak Forest, IL 60452
Phone (708) 687-6050
5620 James Dr
Oak Forest, IL 60452
Phone (708) 687-6050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1346304342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1053",
"city": "MOKENA",
"state": "IL",
"postal_code": "604482052",
"telephone_number": "708-478-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15440 CENTRAL AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522104",
"telephone_number": "773-233-1170",
"fax_number": "773-233-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF OAK FOREST",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "LIPINSKI",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "773-233-1170",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IL",
"license": "815802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
- Sophia Y Chin, MD
- Chiro One Wellness Center of Oak Forest PLLC
- Christian Community Health Center
- James Mark Christian, M. DIV., L.C.P.C.
- Daniel Ciezobka
- Cheri A Clarke
- Cole Vision Corporation
- Continuum Foot & Ankle Medical & Surgical Center LTD.
- Conway Nutrition Services, Inc.
- Jennifer Woods Conway, RD,LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.