MEDICARE: CITY OF ZION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	7256	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590008179	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4970776	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1073548343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ZION

Provider Business Mailing Address
First Line	:	PO BOX 6253
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60197-6253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 SHERIDAN RD
Second Line	:
City	:	ZION
State	:	IL
Zip	:	60099-2627
Country	:	US
Telephone Number	:	847-746-4042
Fax Number	:	847-746-4035

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JUSTIN STRIED
Credential	:
Telephone Number	:	847-746-4042

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/27/2026

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Directions to “CITY OF ZION ” Practice Location

Language	Start Address	Practice Location

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