Active NPI
Village of Villa Park Office of the Treasurer
- Land Ambulance
- Villa Park, IL
National Provider Identifier
1023018652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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 TREASURER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2270933 | Other | IL | BCBS OF IL |
Other names 1
- Villa Park Fire Dept.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.