# LIFESAVER HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1932784006
- **Authorized official:** BRANDY LYNN HANSON APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (773) 552-2465

## Contact information

- **Practice address:** 7929 S YATES BLVD SUITE 201, CHICAGO, IL 60617
- **Practice address phone:** (877) 799-7412
- **Practice address fax:** (773) 922-0178
- **Mailing address:** 7929 S YATES BLVD SUITE 201, CHICAGO, IL 60617
- **Mailing address phone:** (773) 552-2465
- **Mailing address fax:** (773) 922-0178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 03/10/2021