NPIMap

Organization Active NPI

Ambulette Medicar Service

  • Non-emergency Medical Transport (VAN)
  • Schaumburg, IL
National Provider Identifier
1467686709
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMBULETTE MEDICAR SERVICE
Practice address
1460 Fairlane Dr Apt 321
Schaumburg, IL 60193-3567
Phone
(630) 767-9642
Fax
(847) 574-7447
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Agnes Catherine Maczkowski
Title
Owner
Phone
(630) 767-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1460 Fairlane Dr Apt 321
Schaumburg, IL 60193-3567

Mailing address

1460 Fairlane Dr Apt 321
Schaumburg, IL 60193-3567
Phone (630) 767-9642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1467686709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 FAIRLANE DR APT 321",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933567",
            "telephone_number": "630-767-9642",
            "fax_number": "847-574-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 FAIRLANE DR APT 321",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933567",
            "telephone_number": "630-767-9642",
            "fax_number": "847-574-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULETTE MEDICAR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MACZKOWSKI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-767-9642"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.