Active NPI
Village of McCook
- Land Ambulance
- La Grange, IL
National Provider Identifier
1730295353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 78907
- Legal business name
- VILLAGE OF MCCOOK
- Practice address
- 5000 Glencoe Ave
La Grange, IL 60525-7801 - Phone
- (708) 447-7561
- Fax
- (708) 447-4548
- NPI assigned
- Aug 23, 2006
- Last updated
- Sep 8, 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
- Terrance Carr
- Title
- Mayor
- Phone
- (708) 447-9030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 78907 | IL | Primary |
Addresses
Primary practice location
5000 Glencoe Ave
La Grange, IL 60525-7801
Mailing address
PO Box 1368
Elmhurst, IL 60126-8368
Phone (630) 530-2988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1635964 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060213000672 | IL | Part B Supplier - Ambulance Service Supplier | 6507871530 | Practice locations: MC Cook, IL |
National Provider Directory
National Provider DirectoryLocations
5000 Glencoe Ave
#1506
La Grange, IL 60525
Phone (708) 447-7561
5000 Glencoe Ave
Mc Cook, IL 60525
Phone (708) 447-7561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1730295353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601268368",
"telephone_number": "630-530-2988",
"fax_number": "630-832-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 GLENCOE AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605257801",
"telephone_number": "708-447-7561",
"fax_number": "708-447-4548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF MCCOOK",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "TERRANCE",
"authorized_official_title_or_position": "MAYOR",
"authorized_official_telephone_number": "708-447-9030"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "78907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1635964",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.