Organization
PRECISE AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAJDUCH (DIRECTOR)
(708) 857-9100
Entity
Organization
Contact information
Practice address
9982 ANDERSON AVE, CHICAGO RIDGE, IL 60415-1417
(708) 857-9100
Mailing address
9982 ANDERSON AVE, CHICAGO RIDGE, IL 60415-1417
(708) 857-9100
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636407
BLUE CROSS
IL
01
—
P00201767
RAILROAD MEDICARE
IL
Enumeration date
11/01/2006
Last updated
08/22/2020
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