Village of Berkeley

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88918 Issued in IL

Legal business name

VILLAGE OF BERKELEY

Practice address

5819 Electric Ave
Berkeley, IL 60163-1522

Phone

(708) 449-9444

Fax

(708) 449-6189

NPI assigned

Jun 3, 2006

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Larem

Title

Public Safety Director

Phone

(708) 234-2627

Specialties & licenses 1

Addresses

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1073551990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253",
            "telephone_number": "630-630-2988",
            "fax_number": "630-832-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 ELECTRIC AVE",
            "city": "BERKELEY",
            "state": "IL",
            "postal_code": "601631522",
            "telephone_number": "708-449-9444",
            "fax_number": "708-449-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BERKELEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "LAREM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PUBLIC SAFETY DIRECTOR",
        "authorized_official_telephone_number": "708-234-2627"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Zarei DDS-Berkeley Dental Care PC
• Kathleen Anne Ruffulo, LCPC
• Anton J. Sahattchiev, RSA
• Tinley Euthymia LLC
• Via Sol Transport, LLC
• Tonlavail J White
• Shannon Zeszut, SLP

• Land Ambulance in Berkeley, IL
• Providers in Berkeley, 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 5, 2025; 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.