Organization Active NPI

Village of Villa Park Office of the Treasurer

  • Land Ambulance
  • Villa Park, IL
National Provider Identifier
1023018652
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF VILLA PARK OFFICE OF THE TREASURER
Practice address
1440 S.Ardmore Ave.
Villa Park, IL 60181
Phone
(630) 833-5350
Fax
(630) 941-5978
NPI assigned
Jul 26, 2005
Organization subpart
Yes
Parent organization
VILLAGE OF VILLA PARK OFFICE OF THE TREASURERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Wachtel
Title
Finance Director
Phone
(630) 834-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X IL Primary

Addresses

Primary practice location

1440 S.Ardmore Ave.
Villa Park, IL 60181

Mailing address

20 S. Ardmore Ave.
Villa Park, IL 60181
Phone (630) 833-5350

Other identifiers 1

IdentifierTypeStateIssuer
2270933OtherILBCBS OF IL

Other names 1

  • Villa Park Fire Dept. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120328000050 IL Part B Supplier - Ambulance Service Supplier 3072773175 Practice locations: Villa Park, IL

National Provider Directory

National Provider Directory
Part of
Villa Park Fire Dept

Locations

102 W Plymouth St
Villa Park, IL 60181
Phone (630) 833-5343

1440 S Ardmore Ave
Villa Park, IL 60181
Phone (630) 833-5350

20 S Ardmore Ave
Villa Park, IL 60181
Phone (630) 833-5350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1023018652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S. ARDMORE AVE.",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-833-5350",
            "fax_number": "630-941-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S.ARDMORE AVE.",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-833-5350",
            "fax_number": "630-941-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF VILLA PARK OFFICE OF THE TREASURER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE OF VILLA PARK OFFICE OF THE TREASURER",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "630-834-8500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "2270933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Park Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Park Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.