Organization Active NPI

Village of Westchester

  • Land Ambulance
  • Westchester, IL
National Provider Identifier
1760579817
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
88083 Issued in IL
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

Updated by the provider on Sep 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590007933OtherILRAILROAD MEDICARE
01671551OtherILBCBS
366006143001MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000795 IL Part B Supplier - Ambulance Service Supplier 2860306347 Practice locations: Westchester, IL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.