# A-TEC AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952312498
- **Authorized official:** MRS. KATHRYN DIANE KRAJEWSKI (REVENUE CYCLE SPECIALIST)
- **Authorized official phone:** (847) 697-7643

## Contact information

- **Practice address:** 2125 POINT BLVD STE 200, ELGIN, IL 60123-7956
- **Practice address phone:** (847) 697-7643
- **Practice address fax:** (847) 496-8732
- **Mailing address:** 2125 POINT BLVD STE 200, ELGIN, IL 60123-7956
- **Mailing address phone:** (847) 697-7643
- **Mailing address fax:** (847) 496-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1399 | IL | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 02/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001970591 | BLUE CROSS | IL |
| 01 | — | 113789 | STERLING | IL |
| 01 | — | 132271400 | DEPT OF LABOR OWCP | IL |
| 01 | — | 590011088 | PALMETTO RAILRD MEDICARE | IL |