Provider Demographics
NPI:1770905390
Name:AMERICAN AMBULANCE LLC
Entity type:Organization
Organization Name:AMERICAN AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-636-9093
Mailing Address - Street 1:1559 ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8524
Mailing Address - Country:US
Mailing Address - Phone:815-476-2335
Mailing Address - Fax:
Practice Address - Street 1:1559 ROUTE 34
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8524
Practice Address - Country:US
Practice Address - Phone:815-476-2335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2620-013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport