Provider Demographics
NPI:1447298468
Name:VILLAGE OF OAK BROOK
Entity type:Organization
Organization Name:VILLAGE OF OAK BROOK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-5000
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:847-577-8811
Mailing Address - Fax:847-577-7967
Practice Address - Street 1:1200 OAK BROOK RD
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2203
Practice Address - Country:US
Practice Address - Phone:630-368-5000
Practice Address - Fax:630-990-2392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL72233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL792590089OtherRR MEDICARE
IL601288100OtherDOL / OWCP
IL2232200OtherBCBS
IL=========001Medicaid