Provider Demographics
NPI:1033142633
Name:VILLAGE OF SCHILLER PARK
Entity type:Organization
Organization Name:VILLAGE OF SCHILLER PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-678-5136
Mailing Address - Street 1:395 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1508
Mailing Address - Country:US
Mailing Address - Phone:630-903-2363
Mailing Address - Fax:630-832-9750
Practice Address - Street 1:9526 IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:SCHILLER PARK
Practice Address - State:IL
Practice Address - Zip Code:60176-1924
Practice Address - Country:US
Practice Address - Phone:847-678-5136
Practice Address - Fax:847-671-8541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL98080013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016-70473OtherBCBS
IL36006096001Medicaid
IL590013828OtherRAILROAD MEDICARE
IL749830Medicare ID - Type UnspecifiedPART B