# A-ADVANCE AMBULANCE LLC

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

## Provider details

- **NPI number:** 1962839464
- **Authorized official:** CHRISTI I VOGRIG-NICKS (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (708) 525-3173

## Contact information

- **Practice address:** 9850 W 190TH ST STE B-1, MOKENA, IL 60448-5604
- **Practice address phone:** (708) 525-3173
- **Practice address fax:** (708) 478-8653
- **Mailing address:** 9850 W. 190 STREET SUITE B-7, MOKENA, IL 60448-5606
- **Mailing address phone:** (708) 525-3173
- **Mailing address fax:** (773) 774-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 8963 | IL | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 05/23/2014