Organization Active NPI

Village of Clarendon Hills

  • Ambulance
  • Clarendon Hills, IL
National Provider Identifier
1083615728
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
000721001 Issued in IL
Legal business name
VILLAGE OF CLARENDON HILLS
Practice address
1 N Pospect Ave
Clarendon Hills, IL 60514
Phone
(630) 323-3530
Fax
(630) 323-3512
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Maureen B Potempa
Title
Finance Director
Phone
(630) 286-5415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 000721001 IL Primary
Air Ambulance 3416A0800X

Addresses

Primary practice location

1 N Pospect Ave
Clarendon Hills, IL 60514

Mailing address

1 N Pospect Ave
Clarendon Hills, IL 60514
Phone (630) 323-3500

Other identifiers 2

IdentifierTypeStateIssuer
2271372OtherILBCBS OF IL
590007567OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060626000216 IL Part B Supplier - Ambulance Service Supplier 3476565904 Practice locations: Clarendon Hills, IL

National Provider Directory

National Provider Directory

Locations

1 N Prospect Ave
Clarendon Hills, IL 60514
Phone (630) 323-3530

316 Park Ave
Clarendon Hls, IL 60514
Phone (312) 323-3500

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1083615728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N POSPECT AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "60514",
            "telephone_number": "630-323-3500",
            "fax_number": "630-323-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N POSPECT AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "60514",
            "telephone_number": "630-323-3530",
            "fax_number": "630-323-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CLARENDON HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "POTEMPA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "630-286-5415"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "000721001",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "2271372",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

  • 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.