A-ADVANTAGE AMBULANCE LLC NPI 1447621875

NPI Information

NPI: 1447621875
Provider Name: A-ADVANTAGE AMBULANCE LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
9850 W 190TH ST
SUITE B-10
MOKENA, IL
ZIP 60448
Phone: (708) 995-1187
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A-ADVANTAGE AMBULANCE LLC is a land transport ambulance in Mokena, IL. A-ADVANTAGE AMBULANCE LLC NPI is 1447621875. The provider is registered as an organization entity type.

The provider's business location address is:

9850 W 190TH ST
SUITE B-10
MOKENA, IL
ZIP 60448-604
Phone: (708) 995-1187
Fax: (708) 995-7230

The provider's authorized official is Kim Dietz .
The authorized official title is Director Of Patient Accounts and has the following contact phone number (708) 995-1187.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 10/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343800000X	Secured Medical Transport (VAN)		8061	ILLINOIS	No
2	3416L0300X	Ambulance	Land Transport	8061	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201379657001	MEDICAID	ILLINOIS
2	2100073	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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