# VILLAGE OF ROSELLE

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

## Provider details

- **NPI number:** 1922057108
- **Authorized official:** THOMAS DAHL (FINANCE DIRECTOR)
- **Authorized official phone:** (630) 671-2830

## Contact information

- **Practice address:** 31 S PROSPECT ST, ROSELLE, IL 60172-2023
- **Practice address phone:** (630) 671-2844
- **Practice address fax:** (630) 655-1875
- **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 | 97281 | IL | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02232222 | BCBS | IL |
| 01 | — | 590015371 | RAILROAD MEDICARE | IL |