Organization Active NPI

A-Tec Ambulance Service Inc

  • Land Ambulance
  • Elgin, IL
National Provider Identifier
1952312498
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1399 Issued in IL
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

Updated by the provider on Feb 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0001970591OtherILBLUE CROSS
132271400OtherILDEPT OF LABOR OWCP
113789OtherILSTERLING
590011088OtherILPALMETTO RAILRD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.