Organization
CITY OF CHICAGO HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A GONZALEZ (MAYOR)
(708) 656-3600
Entity
Organization
Contact information
Practice address
83 E JOE ORR RD, CHICAGO HEIGHTS, IL 60411-1223
(708) 756-5370
(708) 756-5358
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
78153
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0967077
AETNA
IL
01
—
1617344
BCBS
IL
01
—
202473
UNITED HEALTHCARE
IL
01
—
20886
AMERIGROUP
IL
01
—
N288251
HARMONY
IL
Enumeration date
11/21/2006
Last updated
09/05/2025
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