Active NPI
City of Berwyn
- Ambulance
- Berwyn, IL
National Provider Identifier
1245393073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 805401
- 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, 2025
- 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
- Robert Pilch
- Title
- Division Chief
- Phone
- (708) 749-6347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670585 | Other | IL | BC BS PROVIDER NUMBER |
| 590004104 | Other | IL | RAILROAD RETIREMENT # |
| 000026648 | Other | WI | MEDICAID PROVIDER, WISC. |
| 1670585 | Other | IL | HMO ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120409000603 | IL | Part B Supplier - Ambulance Service Supplier | 1557522117 | Practice locations: Berwyn, IL |
National Provider Directory
National Provider DirectoryLocations
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.