Active NPI
Village of Glen Ellyn Office of Treas
- Land Ambulance
- Glen Ellyn, IL
National Provider Identifier
1417184987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 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
- Emily Rodman
- Title
- Village Manager
- Phone
- (630) 547-5212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2234162 | Other | IL | BCBS |
| IL2273 | Other | IL | MEDICARE PART B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090812000823 | IL | Part B Supplier - Ambulance Service Supplier | 2567516339 | Practice locations: Glen Ellyn, IL |
National Provider Directory
National Provider DirectoryLocations
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.