Organization Active NPI

Town of Cicero

  • Public Health or Welfare Agency
  • Cicero, IL
National Provider Identifier
1407005671
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TOWN OF CICERO
Practice address
2250 S 49TH Ave
Cicero, IL 60804-2460
Phone
(708) 656-3600
Fax
(708) 652-7480
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Mr. Donald L Schultz
Title
Chief Financial Officer
Phone
(708) 656-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2250 S 49TH Ave
Cicero, IL 60804-2460

Mailing address

4949 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081119000065 IL Part B Supplier - Mass Immunization (Roster Biller Only) 8820160989 Practice locations: Cicero, IL
O20220901003313 IL Part B Supplier - Clinic/Group Practice 8820160989 Receives reassigned benefits from 1 practitioner
Practice locations: Cicero, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Town of Cicero2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5410 W 34th St
Cicero, IL 60804
Phone (708) 652-2130

1601 S Central Ave
Cicero, IL 60804
Phone (708) 652-2130

4949 W Cermak Rd
Cicero, IL 60804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1407005671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-656-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S 49TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042460",
            "telephone_number": "708-656-3600",
            "fax_number": "708-652-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CICERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "708-656-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.