Village of Broadview

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

88055 Issued in IL

Legal business name

VILLAGE OF BROADVIEW

Practice address

2350 S 25TH Ave
Broadview, IL 60155-3827

Phone

(708) 343-6124

Fax

(708) 204-8918

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Matthew J Martin

Title

Deputy Chief

Phone

(708) 343-6124

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1730100942",
    "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": "2350 S 25TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601553827",
            "telephone_number": "708-343-6124",
            "fax_number": "708-204-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BROADVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "708-343-6124"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "88055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007932",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "016-71276",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty J Thomas, CADC
• Monique Currie Tucker, D.D.S.
• Lisa A Ufkes, DPT
• Terence Peter Vant
• Janeth Vazquez-Ortega, LCSW
• Visigene LLC
• Kajal Pandya Vora, FNP-C
• Terry Vyfhuis
• Walgreen Co (Walgreens #01449)
• Walgreen Co (Walgreens #05149)

• Land Ambulance in Broadview, IL
• Providers in Broadview, 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 5, 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.