Organization
VILLAGE OF BEDFORD PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SEAN M MALOY (FIRE CHIEF)
(708) 563-4513
Entity
Organization
Contact information
Practice address
6701 S ARCHER RD, BEDFORD PARK, IL 60501-1936
(708) 563-4513
(708) 563-0295
Mailing address
395 WEST LAKE STREET, ATTN: KIMBERLY FULLER, ELMHURST, IL 60126-1508
(630) 903-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
78904
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-32352
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/29/2006
Last updated
02/16/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up