Precise Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7108 Issued in IL

Legal business name

PRECISE AMBULANCE SERVICE LLC

Practice address

9982 Anderson Ave
Chicago Ridge, IL 60415-1417

Phone

(708) 857-9100

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Hajduch

Title

Director

Phone

(708) 857-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013095017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9982 ANDERSON AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151417",
            "telephone_number": "708-857-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9982 ANDERSON AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151417",
            "telephone_number": "708-857-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAJDUCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-857-9100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0001636407",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00201767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Katz Pinera, MS,CNS,LDN
• Rose Pittelli
• Ashley Pittman, M.A.
• Plyam of Chicago Ridge
• Kellie Marie Pratl
• Pri Care Center SC
• Pulmonary Consultants, SC
• Jennifer A Purpura
• Mohamad Rachid
• Sherif Mohamed Rashad, PHYSICAL THERAPIST

• Land Ambulance in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.