Active NPI
A-Tec Ambulance Service Inc
- Land Ambulance
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1399
- Legal business name
- A-TEC AMBULANCE SERVICE INC
- Practice address
- 2125 Point Blvd Ste 200
Elgin, IL 60123-7956 - Phone
- (847) 697-7643
- Fax
- (847) 496-8732
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathryn Diane Krajewski
- Title
- Revenue Cycle Specialist
- Phone
- (847) 697-7643
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1399 | IL | Primary |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
2125 Point Blvd Ste 200
Elgin, IL 60123-7956
Mailing address
2125 Point Blvd Ste 200
Elgin, IL 60123-7956
Phone (847) 697-7643
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001970591 | Other | IL | BLUE CROSS |
| 132271400 | Other | IL | DEPT OF LABOR OWCP |
| 113789 | Other | IL | STERLING |
| 590011088 | Other | IL | PALMETTO RAILRD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040702000067 | IL | Part B Supplier - Ambulance Service Supplier | 7517863350 | Practice locations: Waukegan, IL; Sycamore, IL; Elgin, IL; Crystal Lake, IL; Cortland, IL; Addison, IL |
National Provider Directory
National Provider Directory- Tax ID family
- A-Tec Ambulance Service Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Elgin, IL
- NPI 1184740813
Locations
1140 W Fullerton Ave
Addison, IL 60101
Phone (630) 524-2772
1450 W Bernard Dr
Addison, IL 60101
Phone (847) 697-7643
85 W Ellwalk Ave
Cortland, IL 60112
Phone (847) 697-7643
7510 Virginia Rd
Crystal Lake, IL 60014
Phone (847) 697-7643
740 Eastgate Aly
Crystal Lake, IL 60014
Phone (815) 477-8768
37W950 Mason Rd
Elgin, IL 60124
Phone (847) 697-7643
1150 Davis Rd
Ste A
Elgin, IL 60123
Phone (847) 697-7643
2404 Millennium Dr
Elgin, IL 60124
Phone (847) 697-7643
674 Dundee Ave
Elgin, IL 60120
Phone (847) 428-9423
1102 Commerce Dr
Geneva, IL 60134
Phone (630) 208-9455
120 S Glengarry Dr
Geneva, IL 60134
Phone (630) 208-9455
14047 W Petronella Dr
Ste 105
Libertyville, IL 60048
Phone (847) 362-0253
3932 W Elm St
McHenry, IL 60050
Phone (815) 679-6310
2150 Oakland Dr
Ste F
Sycamore, IL 60178
Phone (847) 697-7643
2432 W Wadsworth Rd
Ste C2
Waukegan, IL 60087
Phone (847) 746-2865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1952312498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 POINT BLVD STE 200",
"city": "ELGIN",
"state": "IL",
"postal_code": "601237956",
"telephone_number": "847-697-7643",
"fax_number": "847-496-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 POINT BLVD STE 200",
"city": "ELGIN",
"state": "IL",
"postal_code": "601237956",
"telephone_number": "847-697-7643",
"fax_number": "847-496-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A-TEC AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "KRAJEWSKI",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "REVENUE CYCLE SPECIALIST",
"authorized_official_telephone_number": "847-697-7643",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "1399",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0001970591",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR OWCP",
"identifier": "132271400",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING",
"identifier": "113789",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILRD MEDICARE",
"identifier": "590011088",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.