MEDICARE: CITY OF NORTH CHICAGO

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	107270	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590006106	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04970717	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1770678104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF NORTH CHICAGO

Provider Business Mailing Address
First Line	:	PO BOX 6253
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60197-6253
Country	:	US
Telephone Number	:	630-530-2988
Fax Number	:	630-832-9750

Provider Business Practice Location Address
First Line	:	1850 LEWIS AVE
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-2050
Country	:	US
Telephone Number	:	847-596-8780
Fax Number	:	847-596-8799

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	JOHN UMEK
Credential	:
Telephone Number	:	847-586-8780

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/08/2025

Similar Medicare Providers

1992718241 — DR. NATHANIEL LLOYD CRUMP M.D.
Practice Location Address:

5841 S MARYLAND AVE , MC 2050
CHICAGO, IL
60637-1447

Practice Phone: 773-702-9200
Practice Fax: 773-702-0840

1356443147 — DR. MELISSA LYNN GILLIAM
Practice Location Address:

5841 S MARYLAND AVE # 2050
CHICAGO, IL
60637-1447

Practice Phone: 773-702-6127
Practice Fax: 773-702-0840

1285736736 — DR. NATASHA TAMIKA JENKINS COOPER M.D.
Practice Location Address:

5841 S MARYLAND AVE , MC 2050
CHICAGO, IL
60637-1447

Practice Phone: 773-702-9200
Practice Fax: 773-702-0840

1205934122 — CATHERINE HARTH M.D.
Practice Location Address:

5841 S. MARYLAND AVENUE , MC 2050
CHICAGO, IL
60637

Practice Phone: 773-834-2229
Practice Fax: 773-702-5159

1699874560 — DR. ANITA BLANCHARD M.D.
Practice Location Address:

5841SOUTH MARYLAND AVENUE , MC 2050
CHICAGO, IL
60637

Practice Phone: 773-702-6127
Practice Fax: 773-702-0840

1346378148 — MRS. LAURA FETZER NURSE PRACTITIONER
Practice Location Address:

5841 S MARYLAND AVE # 2050 , DEPATRTMENT OF GYNECOLOGY
CHICAGO, IL
60637-1447

Practice Phone: 773-834-1792
Practice Fax: 773-702-5159

Directions to “CITY OF NORTH CHICAGO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.