Village of Bellwood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88060 Issued in IL

Legal business name

VILLAGE OF BELLWOOD

Practice address

3200 Washington Blvd
Bellwood, IL 60104-1950

Phone

(708) 547-3524

Fax

(708) 547-9552

NPI assigned

Aug 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andre Harvey

Title

Mayor

Phone

(708) 547-3524

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1265548002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601268368",
            "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": "3200 WASHINGTON BLVD",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041950",
            "telephone_number": "708-547-3524",
            "fax_number": "708-547-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BELLWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "708-547-3524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013125",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01620456",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United DME Supplies Inc
• United Methodist Homes and Services
• Unity I Care Inc.
• Universal Transportation II
• Vasu Smiles PLLC
• Joseph J. Vitez
• Ivory Waddell
• Jermaine Walker
• Robert L Walker, HT
• Aunderia Denise Wallace

• Land Ambulance in Bellwood, IL
• Providers in Bellwood, 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 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.