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1629132048 NPI number — VILLAGE OF ALSIP

NPI Number: 1629132048
Health Care Provider/Practitioner: VILLAGE OF ALSIP

Information about “1629132048” NPI (VILLAGE OF ALSIP) exists in 1629132048 in HTML format HTML  |  1629132048 in plain Text format TXT  |  1629132048 in PDF (Portable Document Format) PDF  |  1629132048 in an XML format XML  formats.

NPI Number : 1629132048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629132048",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VILLAGE OF ALSIP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 457",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHEELING",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60090-0457",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "363-518-6343",
    "MailingAddressFaxNumber": "336-791-0196",
    "FirstLinePracticeLocationAddress": "12600 S PULASKI RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALSIP",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60803-1913",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-292-0134",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2006",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STYCZYNSKI",
    "AuthorizedOfficialFirstName": "THOMAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FIRE CHIEF",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PARAMEDIC",
    "AuthorizedOfficialTelephoneNumber": "708-292-0134",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "341600000X",
          "TaxonomyName": "Ambulance",
          "LicenseNumber": "815501",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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