# VILLAGE OF OAK PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164432654
- **Authorized official:** MR. THOMAS EBSEN (FIRE CHIEF)
- **Authorized official phone:** (708) 358-5602

## Contact information

- **Practice address:** 100 N EUCLID AVE, OAK PARK, IL 60301-1404
- **Practice address phone:** (708) 358-5602
- **Practice address fax:** (708) 383-2495
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 530-2372
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 88075 | IL | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 01/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016-17059 | BCBS | IL |
| 01 | — | 590004925 | RAILROAD MEDICARE | IL |