Organization Active NPI

Village of Glen Ellyn Office of Treas

  • Land Ambulance
  • Glen Ellyn, IL
National Provider Identifier
1417184987
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF GLEN ELLYN OFFICE OF TREAS
Practice address
524 Pennsylvania Ave
Glen Ellyn, IL 60137-4137
Phone
(630) 469-5265
Fax
(630) 469-1762
NPI assigned
Jun 11, 2009
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Emily Rodman
Title
Village Manager
Phone
(630) 547-5212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

524 Pennsylvania Ave
Glen Ellyn, IL 60137-4137

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
2234162OtherILBCBS
IL2273OtherILMEDICARE PART B

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000823 IL Part B Supplier - Ambulance Service Supplier 2567516339 Practice locations: Glen Ellyn, IL

National Provider Directory

National Provider Directory

Locations

524 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 469-5265

535 Duane St
Glen Ellyn, IL 60137
Phone (630) 547-5200

681 Taft Ave
Glen Ellyn, IL 60137
Phone (630) 547-5200

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1417184987",
    "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": "524 PENNSYLVANIA AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374137",
            "telephone_number": "630-469-5265",
            "fax_number": "630-469-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GLEN ELLYN OFFICE OF TREAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "VILLAGE MANAGER",
        "authorized_official_telephone_number": "630-547-5212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2234162",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "IL2273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • 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.