Village of Elmwood Park

Primary specialty

AmbulanceTaxonomy code 341600000X

License

8805803 Issued in IL

Legal business name

VILLAGE OF ELMWOOD PARK

Practice address

7 W Conti Pkwy
Elmwood Park, IL 60707-4519

Phone

(708) 453-2600

NPI assigned

Jul 3, 2006

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Volpe

Title

Village Manager

Phone

(708) 452-3912

Specialties & licenses 2

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1699705970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W CONTI PKWY",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074519",
            "telephone_number": "708-453-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W CONTI PKWY",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074519",
            "telephone_number": "708-453-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ELMWOOD PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "VOLPE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VILLAGE MANAGER",
        "authorized_official_telephone_number": "708-452-3912"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "8805802",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "8805803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "01670895",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MC PROVIDER #",
            "identifier": "791590379",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sara Van Trejo
• Abigail Rose Van Zee, DPT
• Mamerto S Villamonte II, D.D.S.
• Diane Marie Wagoner, R.N.
• Walgreen Co (Walgreens #03833)
• Walgreen Co (Walgreens #13826)
• Walgreen Co. (Walgreens #13826)

• Ambulance in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.