# LIFELINE CONCORD LLC

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

## Provider details

- **NPI number:** 1205346319
- **Authorized official:** JOHN J HERLIHY (CEO)
- **Authorized official phone:** (847) 933-9348

## Contact information

- **Practice address:** 1340 JOHN A PAPALAS DR, LINCOLN PARK, MI 48146-1356
- **Practice address phone:** (313) 386-9400
- **Mailing address:** 3737 CHASE AVE, SKOKIE, IL 60076-4008
- **Mailing address phone:** (847) 933-9348
- **Mailing address fax:** (847) 933-9319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 01/13/2022