Organization
A-ADVANCE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI I VOGRIG-NICKS (DIRECTOR OF PATIENT ACCOUNTS)
(708) 525-3173
Entity
Organization
Contact information
Practice address
9850 W 190TH ST STE B-1, MOKENA, IL 60448-5604
(708) 525-3173
(708) 478-8653
Mailing address
9850 W. 190 STREET SUITE B-7, MOKENA, IL 60448-5606
(708) 525-3173
(773) 774-4744
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8963
IL
Other
Enumeration date
09/30/2013
Last updated
05/23/2014
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