# CITY OF NAPERVILLE ILL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215988456
- **Authorized official:** MR. MARK PUKNAITIS (CHIEF)
- **Authorized official phone:** (630) 305-5900

## Contact information

- **Practice address:** 400 S EAGLE ST, NAPERVILLE, IL 60540-5279
- **Practice address phone:** (630) 305-5900
- **Practice address fax:** (630) 420-4094
- **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 | 87222 | IL | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 022-70002 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 590008635 | RAILROAD MEDICARE | IL |