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Organization

VILLAGE OF ROSELLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS DAHL (FINANCE DIRECTOR)
(630) 671-2830
Entity
Organization

Contact information

Practice address
31 S PROSPECT ST, ROSELLE, IL 60172-2023
(630) 671-2844
(630) 655-1875
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
97281
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232222
BCBS
IL
01
590015371
RAILROAD MEDICARE
IL
Enumeration date
05/08/2006
Last updated
09/08/2025
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