# CRITICARE AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1538683313
- **Authorized official:** DEBRA BUELENS (BILLING MANAGER)
- **Authorized official phone:** (630) 701-1198

## Contact information

- **Practice address:** 1851 AUCUTT RD, MONTGOMERY, IL 60538-1242
- **Practice address phone:** (630) 701-1198
- **Practice address fax:** (630) 859-2737
- **Mailing address:** 1851 AUCUTT RD, MONTGOMERY, IL 60538-1242
- **Mailing address phone:** (630) 701-1198
- **Mailing address fax:** (630) 859-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1430 | IL | — |
| 3416L0300X | Land Ambulance | 1430 | IL | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1430 | IDPH | IL |