# VILLAGE OF UNIVERSITY PARK

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

## Provider details

- **NPI number:** 1225125362
- **Authorized official:** THOMAS R. STEGENGA (FIRE CHIEF)
- **Authorized official phone:** (708) 235-4822

## Contact information

- **Practice address:** 698 BURNHAM DR, UNIVERSITY PARK, IL 60466-2708
- **Practice address phone:** (708) 235-4833
- **Practice address fax:** (708) 534-4820
- **Mailing address:** PO BOX 6253, CAROL STREAM, IL 60197-6253
- **Mailing address phone:** (630) 530-2988
- **Mailing address fax:** (630) 832-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 77581 | IL | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 09/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09970769 | BCBS | IL |
| 01 | — | 590004315 | RAILROAD MEDICARE | IL |