Village of University Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

77581 Issued in IL

Legal business name

VILLAGE OF UNIVERSITY PARK

Practice address

698 Burnham Dr
University Park, IL 60466-2708

Phone

(708) 235-4833

Fax

(708) 534-4820

NPI assigned

Oct 9, 2006

Last updated

Sep 8, 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

Thomas R. Stegenga

Title

Fire Chief

Phone

(708) 235-4822

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1225125362",
    "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": "698 BURNHAM DR",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604662708",
            "telephone_number": "708-235-4833",
            "fax_number": "708-534-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF UNIVERSITY PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "STEGENGA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-235-4822"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "77581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09970769",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590004315",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lida Stewart
• This Little Light
• Denise Vanarsdale, APN, FNP
• Wanikka Vance
• Ashley Vickers
• Heather Williams
• Veronica Teresa Williams, LCMT

• Land Ambulance in University Park, IL
• Providers in University Park, 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 8, 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.