Village of Lombard

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF LOMBARD

Practice address

255 E Wilson Ave
Lombard, IL 60148-3926

Phone

(630) 620-5736

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul Dirienzo

Title

Emergency Medical Services Chief

Phone

(630) 620-5736

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1073512240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E WILSON AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483926",
            "telephone_number": "630-873-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E WILSON AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483926",
            "telephone_number": "630-620-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF LOMBARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "DIRIENZO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EMERGENCY MEDICAL SERVICES CHIEF",
        "authorized_official_telephone_number": "630-620-5736",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "2270151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Victoria
• Luke W Vidovic
• Susan G Vierling, M.D.
• Valerie Vigil
• Christine Vigneau, REGISTERED NURSE
• Amy Villegas
• Vip 2U PC
• Vip 2U, Inc
• Jaime Viramontes Jr., CSFA
• Visionworks, Inc (Visionworks)

• Land Ambulance in Lombard, IL
• Providers in Lombard, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.