Active NPI
Village of Oak Brook
- Land Ambulance
- Oak Brook, IL
National Provider Identifier
1447298468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7223
- Legal business name
- VILLAGE OF OAK BROOK
- Practice address
- 1200 Oak Brook Rd
Oak Brook, IL 60523-2203 - Phone
- (630) 368-5000
- Fax
- (630) 990-2392
- NPI assigned
- Jun 3, 2006
- Last updated
- Apr 11, 2025
- 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
- Rob Cronholm
- Title
- Fire Chief
- Phone
- (630) 368-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7223 | IL | Primary |
Addresses
Primary practice location
1200 Oak Brook Rd
Oak Brook, IL 60523-2203
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601288100 | Other | IL | DOL / OWCP |
| 2232200 | Other | IL | BCBS |
| 792590089 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110510000691 | IL | Part B Supplier - Ambulance Service Supplier | 0345426250 | Practice locations: Oak Brook, IL |
National Provider Directory
National Provider DirectoryLocations
1200 Oak Brook Rd
Oak Brook, IL 60523
Phone (630) 368-5000
1212 Oak Brook Rd
Oak Brook, IL 60523
Phone (708) 990-3040
725 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 368-5200
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": "1744329600000",
"number": "1447298468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900457",
"telephone_number": "847-577-8811",
"fax_number": "847-577-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OAK BROOK RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232203",
"telephone_number": "630-368-5000",
"fax_number": "630-990-2392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF OAK BROOK",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "CRONHOLM",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "630-368-5000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "7223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL / OWCP",
"identifier": "601288100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2232200",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "792590089",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.