Organization Active NPI

Hatzalah Chicago

  • Land Ambulance
  • Skokie, IL
National Provider Identifier
1750719894
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
118564 Issued in IL
Legal business name
HATZALAH CHICAGO
Practice address
8170 McCormick Blvd
Ste 204
Skokie, IL 60076-2961
Phone
(847) 929-6699
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Tzvi Montrose
Title
President
Phone
(847) 929-6699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 118564 IL Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

8170 McCormick Blvd
Ste 204
Skokie, IL 60076-2961

Mailing address

8170 McCormick Blvd
Ste 204
Skokie, IL 60076-2961

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.creativeems.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219002298 IL Part B Supplier - Ambulance Service Supplier 1850616657 Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

8170 McCormick Blvd
Ste 96
Skokie, IL 60076

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1750719894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "STE 204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-929-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATZALAH CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MONTROSE",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-929-6699"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "118564",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.creativeems.com",
            "affiliation": "N",
            "endpointDescription": "e-PCR",
            "address_1": "8170 McCormick Blvd",
            "address_2": "STE 204",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600762961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.