Organization
VILLAGE OF BERKELEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LAREM (PUBLIC SAFETY DIRECTOR)
(708) 234-2627
Entity
Organization
Contact information
Practice address
5819 ELECTRIC AVE, BERKELEY, IL 60163-1522
(708) 449-9444
(708) 449-6189
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 630-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
88918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632188
BLUE CROSS BLUE SHIELD
IL
01
—
590014942
MEDICARE RAILROAD
IL
Enumeration date
06/03/2006
Last updated
09/05/2025
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