# NEW LIFE AMBULANCE SERVICE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEW LIFE AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336390004
- **Authorized official:** MR. GORDON EGBUNA (ADMINISTRATOR)
- **Authorized official phone:** (773) 454-3392

## Contact information

- **Practice address:** 4936 W FLOURNOY ST, CHICAGO, IL 60644-5177
- **Practice address phone:** (708) 345-2640
- **Practice address fax:** (708) 345-3774
- **Mailing address:** PO BOX 1096, MAYWOOD, IL 60153-8096
- **Mailing address phone:** (708) 345-2640
- **Mailing address fax:** (708) 345-3774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | \#8377 | IL | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 11/16/2010