Organization Active NPI

City of Berwyn

  • Ambulance
  • Berwyn, IL
National Provider Identifier
1245393073
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
805401 Issued in IL
Legal business name
CITY OF BERWYN
Practice address
6700 26TH St
Berwyn, IL 60402-2500
Phone
(708) 788-2660
Fax
(708) 788-3990
NPI assigned
Dec 19, 2006
Last updated
Sep 5, 2025By the provider in NPPES
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
Robert Pilch
Title
Division Chief
Phone
(708) 749-6347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 805401 IL Primary

Addresses

Primary practice location

6700 26TH St
Berwyn, IL 60402-2500

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other identifiers 4

IdentifierTypeStateIssuer
1670585OtherILBC BS PROVIDER NUMBER
590004104OtherILRAILROAD RETIREMENT #
000026648OtherWIMEDICAID PROVIDER, WISC.
1670585OtherILHMO ILLINOIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000603 IL Part B Supplier - Ambulance Service Supplier 1557522117 Practice locations: Berwyn, IL

National Provider Directory

National Provider Directory

Locations

6434 W Windsor Ave
Berwyn, IL 60402
Phone (708) 484-1646

6615 16th St
Berwyn, IL 60402
Phone (708) 484-1645

6700 26th St
Berwyn, IL 60402
Phone (708) 788-2660

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1245393073",
    "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": "6700 26TH ST",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022500",
            "telephone_number": "708-788-2660",
            "fax_number": "708-788-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BERWYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "PILCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "708-749-6347"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "805401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "1670585",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT #",
            "identifier": "590004104",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER, WISC.",
            "identifier": "000026648",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ILLINOIS",
            "identifier": "1670585",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, 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.