# VILLAGE OF BELLWOOD

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

## Provider details

- **NPI number:** 1265548002
- **Authorized official:** MR. ANDRE HARVEY (MAYOR)
- **Authorized official phone:** (708) 547-3524

## Contact information

- **Practice address:** 3200 WASHINGTON BLVD, BELLWOOD, IL 60104-1950
- **Practice address phone:** (708) 547-3524
- **Practice address fax:** (708) 547-9552
- **Mailing address:** PO BOX 1368, ELMHURST, IL 60126-8368
- **Mailing address phone:** (630) 530-2988
- **Mailing address fax:** (630) 832-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 88060 | IL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 09/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01620456 | BCBS | IL |
| 01 | — | 590013125 | RAILROAD MEDICARE | IL |
