A-Advance Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8963 Issued in IL

Legal business name

A-ADVANCE AMBULANCE LLC

Practice address

9850 W 190TH St Ste B-1
Mokena, IL 60448-5604

Phone

(708) 525-3173

Fax

(708) 478-8653

NPI assigned

Sep 30, 2013

Organization subpart

No

Name

Christi I Vogrig-Nicks

Title

Director of Patient Accounts

Phone

(708) 525-3173

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2014.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1962839464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 W. 190 STREET SUITE B-7",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604485606",
            "telephone_number": "708-525-3173",
            "fax_number": "773-774-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 W 190TH ST STE B-1",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604485604",
            "telephone_number": "708-525-3173",
            "fax_number": "708-478-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-ADVANCE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "VOGRIG-NICKS",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "708-525-3173"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.