City of Joliet

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7 7093 Issued in IL

Legal business name

CITY OF JOLIET

Practice address

101 E Clinton St
Joliet, IL 60432-4137

Phone

(815) 724-3503

Fax

(815) 724-3548

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Marose

Title

Chief of EMS

Phone

(815) 724-3503

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Joliet Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760472070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CLINTON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324137",
            "telephone_number": "815-724-3503",
            "fax_number": "815-724-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAROSE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "815-724-3503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7 7093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REPUBLIC IN",
            "identifier": "42011",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009970528",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAMARK PHCS",
            "identifier": "61425",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8100053",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joliet Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Cisneros, MA
• Amy Citlau, LPC
• City Center Health Care
• City Center Physical Therapy - Joliet
• City Home Health Services LLC
• Pamela A. Clanton, CRNA
• Dottie Clark, LPN
• Natalie Frances Clark, PT, DPT
• Kevin Clarke, PA
• Kristen Clarke, MSW

• Land Ambulance in Joliet, IL
• Providers in Joliet, 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 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.