Village of Summit
Organization Active NPI Land Ambulance · Summit, IL
NPI 1669569737 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1669569737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 78422 (IL)
- Legal business name
- VILLAGE OF SUMMIT
- Practice address
- 7339 W 59TH St
Summit, IL 60501-1419 - Phone
- (708) 594-3894
- Fax
- (708) 594-4912
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Anthony Anderson
- Title
- Fire Chief
- Phone
- (708) 594-3894
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000856 | IL | Part B Supplier - Ambulance Service Supplier | 2264606656 | Practice locations: Summit, IL |
National Provider Directory
Locations
7339 W 59th St
Summit Argo, IL 60501
Phone (708) 594-3894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 78422 | IL | Yes |
Addresses
Primary practice location
7339 W 59TH St
Summit, IL 60501-1419
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01670387 | Other | IL | BCBS |
Other providers in Summit, 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.