VILLAGE OF UNIVERSITY PARK (NPI# 1225125362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225125362 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF UNIVERSITY PARK |
| Practice Address |
698 Burnham Dr University Park IL 60466-2708 |
| Mailing Address |
395 W Lake St Elmhurst IL 60126-1508 |
| Practice Telephone | 7082354833 |
| Practice Fax Number | 7085344820 |
| Mailing Telephone | 6305302988 |
| Mailing Fax Number | 6309032830 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | MR. CHARLES EXNER (FIRE CHIEF) |
| Authorized Official Telephone | 7082354833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
77581 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | 590004315 | 01 |
| IL | BCBS | 09970769 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VILLAGE OF UNIVERSITY PARK, THE (INC) | 698 Burnham Dr, University Park, IL 60484-2708 |
| Street Address |
698 BURNHAM DR |
| City | UNIVERSITY PARK |
| State | IL |
| Zip Code | 60466-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464926 | Elda Jean Davis | Technician | 208 Juniper St, Park Forest, IL 60466 | 2019-09-04 |
| 1558806224 | Cindy Okolo | Nurse Practitioner | 111 E Sycamore Drive Suite 303, Park Forest, IL 60466 | 2017-01-04 |
| 1063891984 | April Washington | Occupational Therapist | 2 Lakewood Ct, Park Forest, IL 60466 | 2015-05-26 |
| 1093940363 | Andrene Renee Johnson | Durable Medical Equipment & Medical Supplies | 3224 S Western Ave, Park Forest, IL 60466 | 2009-05-15 |
| 1316181597 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 101 Wolpers Rd, Park Forest, IL 60466 | 2009-05-01 |
| 1255504155 | Joyce N Onyenso | Registered Nurse | 1037 Monterey Ct, University Park, IL 60466 | 2008-04-11 |
| 1891812327 | Comgraph Inc. | Clinic/Center | 252 Main Street, Park Forest, IL 60466 | 2007-03-22 |
| 1992800890 | Village of Park Forest | Home Health | 350 Victory Drive, Lower Level, Park Forest, IL 60466 | 2006-09-14 |
| 1366468324 | Reliable Healthcare Service LLC | Registered Nurse | 220 Forest Blvd, Park Forest Blvd, IL 60466 | 2006-07-14 |
| 1881257806 | Healing Steps Counseling, PC | Clinic/Center | 230 Main St, Park Forest, IL 60466 | 2019-04-16 |
| Find all providers in zip 60466 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1255457057 | The Pennsylvania State University | Ambulance | 308 Student Health Ctr, University Park, PA 16802-2129 | 2007-03-22 |
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| 1134776859 | Preferred Ambulance LLC | Ambulance | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | 2019-08-19 |
| 1407321938 | Alliance Ambulance LLC | Ambulance | 4248 Belle Aire Lane Suite 3, Downers Grove, IL 60515-1303 | 2018-10-11 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1033615307 | Bridget Mangan | Ambulance | 3559 W 101st St, Evergreen Park, IL 60805-3708 | 2018-04-04 |
| 1093211823 | Lakeside Ems LLC | Ambulance | 3293 E 500 North Rd, Neoga, IL 62447 | 2018-04-02 |
| 1902301013 | Ability Transportation Inc | Ambulance | 24459 W Eames St, Channahon, IL 60410-5591 | 2018-03-29 |
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1619499878 | Mission Care of Illinois LLC | Ambulance | 812 N 3rd St, Effingham, IL 62401-3130 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PARK |
| Zip Code | 60466 |
Please comment or provide details below to improve the information on VILLAGE OF UNIVERSITY PARK.
| 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.