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Contact Information

CITY OF BERWYN
6700 26TH ST
BERWYN, IL60402-2500
 Phone: 708-788-2660
 Fax: 708-788-3990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY OF BERWYN

NPI Number 1245393073
LBN Legal business name CITY OF BERWYN
Authorized official ROBERT PILCH - (DIVISION CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 09/05/2025 - About 9 months ago
Identifiers
IL License # 805401
IL Other 1670585 BC BS PROVIDER NUMBER
IL Other 1670585 HMO ILLINOIS
IL Other 590004104 RAILROAD RETIREMENT #
WI Other 000026648 MEDICAID PROVIDER, WISC.
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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