Village of Stone Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88082 Issued in IL

Legal business name

VILLAGE OF STONE PARK

Practice address

1745 N 35TH Ave
Stone Park, IL 60165-1025

Phone

(708) 450-3217

Fax

(708) 450-3219

NPI assigned

Oct 9, 2006

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Paige

Title

Fire Chief

Phone

(708) 450-3217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1679660740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-903-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N 35TH AVE",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651025",
            "telephone_number": "708-450-3217",
            "fax_number": "708-450-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF STONE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-450-3217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilsen-Little Village Community Mental Health Center, Inc
• Precision Immediate Care and Medical Center, LLC
• State Scientific Lab LLC
• Stone Park Dental Inc (Universal Dental)
• Ilene Trujillo
• ZJ Medical Inc.

• Land Ambulance in Stone Park, IL
• Providers in Stone Park, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.