Healthcare Provider Details

I. General information

NPI: 1417063116
Provider Name (Legal Business Name): VILLAGE OF BROOKFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 SHIELDS AVE
BROOKFIELD IL
60513-2009
US

IV. Provider business mailing address

PO BOX 6253
CAROL STREAM IL
60197-6253
US

V. Phone/Fax

Practice location:
  • Phone: 708-485-0076
  • Fax: 708-387-2733
Mailing address:
  • Phone: 630-530-2988
  • Fax: 630-832-9750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number88056
License Number StateIL

VIII. Authorized Official

Name: JAMES ADAMS
Title or Position: FIRE CHIEF
Credential:
Phone: 708-485-3066