Organization Active NPI

Village of Bolingbrook Illinois

  • Land Ambulance
  • Bolingbrook, IL
National Provider Identifier
1104811967
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 29, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9915055OtherILBCBS OF IL
590005580OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000547 IL Part B Supplier - Ambulance Service Supplier 6507954419 Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.