Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1255832564 |
| LBN Legal business name | LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC. |
| Authorized official | BRIAN TIERNEY - (EVP, CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/22/2018 |
| Last updated | 05/13/2026 - About 3 weeks ago |
| Identifiers | n/a |
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