Village of River Forest

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88076 Issued in IL

Legal business name

VILLAGE OF RIVER FOREST

Practice address

400 Park Ave
River Forest, IL 60305-1726

Phone

(708) 366-8500

Fax

(708) 366-3702

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Gaertner

Title

Fire Chief

Phone

(708) 714-3560

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1598852659",
    "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": "400 PARK AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051726",
            "telephone_number": "708-366-8500",
            "fax_number": "708-366-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF RIVER FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GAERTNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-714-3560"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01670525",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Velazquez
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Breast Care Center)
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Advanced Imaging Center)
• VHS Acquisition Subsidiary Number 4 Inc (River Forest Cardiovascular Center)
• VHS West Suburban Medical Center Inc (Center Pharmacy)
• Courtney R Villari, DDS
• Viva Physical Therapy, LLC
• Olga Vydra, SLP
• Walgreen Co (Walgreens #03076)
• Katherine Ann Walsh, M.D.

• Land Ambulance in River Forest, IL
• Providers in River Forest, 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 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.