# VILLAGE OF BERKELEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073551990
- **Authorized official:** TIMOTHY LAREM (PUBLIC SAFETY DIRECTOR)
- **Authorized official phone:** (708) 234-2627

## Contact information

- **Practice address:** 5819 ELECTRIC AVE, BERKELEY, IL 60163-1522
- **Practice address phone:** (708) 449-9444
- **Practice address fax:** (708) 449-6189
- **Mailing address:** PO BOX 6253, CAROL STREAM, IL 60197-6253
- **Mailing address phone:** (630) 630-2988
- **Mailing address fax:** (630) 832-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 88918 | IL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 09/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01632188 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 590014942 | MEDICARE RAILROAD | IL |