Organization
CITY OF BERWYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PILCH (DIVISION CHIEF)
(708) 749-6347
Entity
Organization
Contact information
Practice address
6700 26TH ST, BERWYN, IL 60402-2500
(708) 788-2660
(708) 788-3990
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
805401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000026648
MEDICAID PROVIDER, WISC.
WI
01
—
1670585
BC BS PROVIDER NUMBER
IL
01
—
590004104
RAILROAD RETIREMENT #
IL
Enumeration date
12/19/2006
Last updated
09/05/2025
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