Organization Active NPI

Village of McCook

  • Land Ambulance
  • La Grange, IL
National Provider Identifier
1730295353
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
78907 Issued in IL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1635964OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000672 IL Part B Supplier - Ambulance Service Supplier 6507871530 Practice locations: MC Cook, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.