MEDICARE: CITY OF PARK RIDGE

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	8194	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590007926	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1670787	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1851332159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF PARK RIDGE

Provider Business Mailing Address
First Line	:	505 BUTLER PLACE
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-4648
Country	:	US
Telephone Number	:	847-318-5264
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 BUTLER PLACE
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-4648
Country	:	US
Telephone Number	:	847-318-5264
Fax Number	:	847-318-5314

Authorized Official
Title or Position	:	LIEUTENANT
Name	:	MATTHEW SCOTT JARKA
Credential	:
Telephone Number	:	630-337-8174

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	03/16/2016

Similar Medicare Providers

1184990319 — DR. SHELDON JAY SEGAL M.D.
Practice Location Address:

9901 OAK RIDGE TRL
MINNETONKA, MN
55305-4648

Practice Phone: 952-933-3737
Practice Fax:

1598482481 — ALEXANDRIA FORD LPN
Practice Location Address:

4648 EDDY RIDGE RD
MARION, NY
14505-9329

Practice Phone: 315-573-0530
Practice Fax:

1447010723 — HEALTHY MIND HEALTHCARE LLC
Practice Location Address:

6769 VERDE RIDGE RD # 700
RANCHO PALOS VERDES, CA
90275-4648

Practice Phone: 310-702-7144
Practice Fax: 310-702-7144

1871315689 — MEDCITY LACTATION AND FEEDING SERVICES LLC
Practice Location Address:

4648 CASSIDY RIDGE DR NE
ROCHESTER, MN
55906-8431

Practice Phone: 507-291-9830
Practice Fax: 507-291-9824

1255282075 — DR. AMANDA BERHAUPT PHD, MS, RD
Practice Location Address:

7126 CARROLL AVE APT 1
TAKOMA PARK, MD
20912-4648

Practice Phone: 202-774-7286
Practice Fax:

1437565280 — BEVIN NICOLE DEMUTH LCSW
Practice Location Address:

2028 PARK ROYAL DR
SAN JOSE, CA
95125-4648

Practice Phone: 650-305-1044
Practice Fax:

Directions to “CITY OF PARK RIDGE ” 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.