Healthcare Provider Details

I. General information

NPI: 1891728499
Provider Name (Legal Business Name): VILLAGE OF WHEELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COMMUNITY BLVD
WHEELING IL
60090-2726
US

IV. Provider business mailing address

PO BOX 457
WHEELING IL
60090-0457
US

V. Phone/Fax

Practice location:
  • Phone: 847-459-2662
  • Fax: 847-459-2976
Mailing address:
  • Phone: 877-200-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number108199
License Number StateIL

VIII. Authorized Official

Name: MR. ROBERT BRIAN SMITH
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 847-459-2627