Healthcare Provider Details

I. General information

NPI: 1295764298
Provider Name (Legal Business Name): VILLAGE OF ROSEMONT ILLINOIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 W DEVON AVE
ROSEMONT IL
60018-4811
US

IV. Provider business mailing address

PO BOX 1368
ELMHURST IL
60126-8368
US

V. Phone/Fax

Practice location:
  • Phone: 847-823-1134
  • Fax: 847-823-1163
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 Number8079
License Number StateIL

VIII. Authorized Official

Name: LYNN MARIE JAROG
Title or Position: CHIEF FINANCE OFFICER
Credential:
Phone: 847-825-4404