Active NPI
Village of Westchester
- Land Ambulance
- Westchester, IL
National Provider Identifier
1760579817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 88083
- Legal business name
- VILLAGE OF WESTCHESTER
- Practice address
- 10240 W Roosevelt Rd
Westchester, IL 60154-2573 - Phone
- (708) 345-0433
- Fax
- (708) 345-0089
- NPI assigned
- Oct 9, 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
- Paul Nosek
- Title
- Village Manager
- Phone
- (708) 345-0020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 88083 | IL | Primary |
Addresses
Primary practice location
10240 W Roosevelt Rd
Westchester, IL 60154-2573
Mailing address
PO Box 1368
Elmhurst, IL 60126-8368
Phone (630) 530-2988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007933 | Other | IL | RAILROAD MEDICARE |
| 01671551 | Other | IL | BCBS |
| 366006143001 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000795 | IL | Part B Supplier - Ambulance Service Supplier | 2860306347 | Practice locations: Westchester, IL |
National Provider Directory
National Provider DirectoryLocations
10760 W Cermak Rd
Westchester, IL 60154
Phone (708) 562-6969
10240 W Roosevelt Rd
Westchester, IL 60154
Phone (708) 345-0433
10300 W Roosevelt Rd
Westchester, IL 60154
Phone (708) 345-0433
NPI Registry JSON
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": "1760579817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601268368",
"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": "10240 W ROOSEVELT RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542573",
"telephone_number": "708-345-0433",
"fax_number": "708-345-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF WESTCHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "NOSEK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "VILLAGE MANAGER",
"authorized_official_telephone_number": "708-345-0020"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "88083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007933",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01671551",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366006143001",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, 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.