Provider Demographics
NPI:1952312498
Name:A-TEC AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:A-TEC AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:KRAJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-697-7643
Mailing Address - Street 1:2125 POINT BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7956
Mailing Address - Country:US
Mailing Address - Phone:847-697-7643
Mailing Address - Fax:847-496-8732
Practice Address - Street 1:2125 POINT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7956
Practice Address - Country:US
Practice Address - Phone:847-697-7643
Practice Address - Fax:847-496-8732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL13993416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001970591OtherBLUE CROSS
IL132271400OtherDEPT OF LABOR OWCP
IL113789OtherSTERLING
IL590011088OtherPALMETTO RAILRD MEDICARE
IL590011088OtherPALMETTO RAILRD MEDICARE
IL=========001Medicaid
IL0001970591OtherBLUE CROSS
IL=========OtherTRICARE HEALTH NET
IL753411Medicare PIN
IL590011088Medicare PIN