Active NPI
Village of Hillside
- Land Ambulance
- Hillside, IL
National Provider Identifier
1598716714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 88063
- Legal business name
- VILLAGE OF HILLSIDE
- Practice address
- 523 N Wolf Rd
Hillside, IL 60162-1209 - Phone
- (708) 202-3402
- Fax
- (708) 544-6405
- NPI assigned
- May 12, 2006
- 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
- Kenneth Loius Carling
- Title
- Fire Chief
- Phone
- (708) 202-3402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 88063 | IL | Primary |
Addresses
Primary practice location
523 N Wolf Rd
Hillside, IL 60162-1209
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016-21242 | Other | IL | BLUECROSSBLUESHIELD |
| 590013947 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081014000492 | IL | Part B Supplier - Ambulance Service Supplier | 3072689538 | Practice locations: Hillside, IL |
National Provider Directory
National Provider DirectoryLocations
425 N Hillside Ave
Hillside, IL 60162
Phone (708) 202-3402
523 N Wolf Rd
Hillside, IL 60162
Phone (708) 202-3402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1598716714",
"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": "523 N WOLF RD",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601621209",
"telephone_number": "708-202-3402",
"fax_number": "708-544-6405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF HILLSIDE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "CARLING",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "LOIUS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "708-202-3402"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "88063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "016-21242",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590013947",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillside, 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.