Active NPI
Village of Bolingbrook Illinois
- Land Ambulance
- Bolingbrook, IL
National Provider Identifier
1104811967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF BOLINGBROOK ILLINOIS
- Practice address
- 375 W Briarcliff Rd
Bolingbrook, IL 60440-3825 - Phone
- (630) 226-8540
- Fax
- (630) 759-4016
- NPI assigned
- Sep 16, 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
- Chris Jostes
- Title
- Fire Chief
- Phone
- (630) 226-8540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
375 W Briarcliff Rd
Bolingbrook, IL 60440-3825
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9915055 | Other | IL | BCBS OF IL |
| 590005580 | 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 |
|---|---|---|---|---|
| O20071109000547 | IL | Part B Supplier - Ambulance Service Supplier | 6507954419 | Practice locations: Bolingbrook, IL |
National Provider Directory
National Provider DirectoryLocations
1900 Rodeo Dr
Bolingbrook, IL 60490
Phone (630) 226-8505
375 W Briarcliff Rd
Bolingbrook, IL 60440
Phone (630) 226-8456
1111 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 226-8504
375 Lily Cache Ln
Bolingbrook, IL 60440
Phone (630) 226-8502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1104811967",
"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": "630-530-2988",
"fax_number": "630-832-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 W BRIARCLIFF RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403825",
"telephone_number": "630-226-8540",
"fax_number": "630-759-4016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF BOLINGBROOK ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "JOSTES",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "630-226-8540"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "9915055",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590005580",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.