Active NPI
Village of Clarendon Hills
- Ambulance
- Clarendon Hills, IL
National Provider Identifier
1083615728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 000721001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2271372 | Other | IL | BCBS OF IL |
| 590007567 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060626000216 | IL | Part B Supplier - Ambulance Service Supplier | 3476565904 | Practice locations: Clarendon Hills, IL |
National Provider Directory
National Provider DirectoryLocations
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.