Village Of Evergreen Park

LBN: Village Of Evergreen Park
Village Of Evergreen Park is an health care organization with primary practice located at 9000 S Kedzie Ave , Evergreen Park IL 60805-1311. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Village Of Evergreen Park can be contacted via phone (773) 233-1170, or through Kleinhaus, Ron via phone (708) 476-3200.

Contact Information

Primary practice address
9000 S Kedzie Ave Evergreen Park IL 60805-1311
Phone: (773) 233-1170
Fax: (773) 233-8146
Website:
Map and Directions
Authorized official contact:
Name: Kleinhaus, Ron
Phone: (708) 476-3200

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X Illinois

Profile Details

NPI number 1396800892
LBN Legal business name Village Of Evergreen Park
DBA Doing business as
Authorized official Kleinhaus, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396800892 NPPES
Illinois Other 1670314 BC BS OF ILLINOIS
Illinois Other 590001810 BC BS OF ILLINOIS
Illinois Other 1670314 BC BS OF ILLINOIS

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