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Organization
CRITICARE AMBULANCE SERVICE INC
Active
Organization
CRITICARE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BUELENS (BILLING MANAGER)
(630) 701-1198
Entity
Organization
Contact information
Practice address
1851 AUCUTT RD, MONTGOMERY, IL 60538-1242
(630) 701-1198
(630) 859-2737
Mailing address
1851 AUCUTT RD, MONTGOMERY, IL 60538-1242
(630) 701-1198
(630) 859-2737
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1430
IL
3416L0300X
Land Ambulance
Primary
1430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1430
IDPH
IL
Enumeration date
08/02/2017
Last updated
07/21/2022
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