ALVERNO LAKESIDE CORPORATION (NPI# 1124021266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124021266 |
| Entity Type | Organization |
| Organization Name | ALVERNO LAKESIDE CORPORATION |
| Other Organization Name | ALVERNO ADVANCED LIFE SUPPORT SERVICE |
| Practice Address |
20201 Crawford Ave Olympia Fields IL 60461-1010 |
| Practice Telephone | 7087561200 |
| Practice Fax Number | 7084815583 |
| Mailing Telephone | 7087474000 |
| Mailing Fax Number | 7087553392 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | MR. JOHN SLYKAS (MANAGER) |
| Authorized Official Telephone | 7087474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JAMES HOSPITAL, UNITED STATES CATHOLIC CONFERENCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 77967 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER NUMBER | 1626513 | 01 |
| IL | MEDICARE RAILROAD | 590014070 | 01 |
| Other Name | Type Code |
|---|---|
| Alverno Advanced Life Support Service | Doing Business As Name - Organization |
| Street Address |
20201 CRAWFORD AVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011304 | Maura Ganser | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-30 |
| 1295344802 | Rebekah Stanish | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-29 |
| 1699398115 | Alexander Eric Urban | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-19 |
| 1083236038 | Rushiv Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-13 |
| 1922620038 | Mateusz Dawid Gorecki | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-05-12 |
| 1790304228 | Natalya Mezenina | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-14 |
| 1306465471 | Garrett Kawashima | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-09 |
| 1013536267 | Adnan Manzoor | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
| 1659900819 | Nicholas John Zanghi | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
| 1497384721 | Sarah Maya Aggari De Guzman | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1750980058 | Ivan V Knight | Ambulance | 322 Campbell Ave, Calumet City, IL 60409-2011 | 2020-10-19 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1821624966 | Covenant Health Ambulance Service, Inc | Ambulance | 1619b Weid Rd, Elgin, IL 60123-5825 | 2020-03-20 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1831668458 | Midway Ems | Ambulance | 5155 Torque Rd # B, Loves Park, IL 61111-7144 | 2018-11-14 |
| 1336637248 | Paramedic Services of Illinois, Inc. | Ambulance | 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 | 2018-04-26 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1891293288 | Hamel Fire Protection District | Ambulance | 401 N Old Us Route 66, Hamel, IL 62046-1071 | 2018-01-31 |
| 1144761503 | Ah, LLC | Ambulance | 741 N Main St, Manteno, IL 60950-1254 | 2017-03-17 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.