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VILLAGE OF SUMMIT NPI 1669569737


NPI Information

NPI: 1669569737
Provider Name: VILLAGE OF SUMMIT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
7339 W 59TH ST
SUMMIT, IL
ZIP 60501
Phone: (708) 594-3894
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VILLAGE OF SUMMIT is a land transport ambulance in Summit, IL. VILLAGE OF SUMMIT NPI is 1669569737. The provider is registered as an organization entity type.

The provider's business location address is:

7339 W 59TH ST
SUMMIT, IL
ZIP 60501-419
Phone: (708) 594-3894
Fax: (708) 594-4912

The provider's authorized official is Robert Wasko .
The authorized official title is Fire Chief and has the following contact phone number (708) 594-3894.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 3/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport78422ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1718390MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2=========001MEDICAIDILLINOIS
301670387OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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