Organization
NEW LIFE AMBULANCE SERVICE INC.
Active
Other names
NEW LIFE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON EGBUNA (ADMINISTRATOR)
(773) 454-3392
Entity
Organization
Contact information
Practice address
4936 W FLOURNOY ST, CHICAGO, IL 60644-5177
(708) 345-2640
(708) 345-3774
Mailing address
PO BOX 1096, MAYWOOD, IL 60153-8096
(708) 345-2640
(708) 345-3774
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
#8377
IL
Other
Enumeration date
09/30/2008
Last updated
11/16/2010
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