Organization
LIFESTREAM TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA N GILLS (PRESIDENT)
(630) 379-2686
Entity
Organization
Contact information
Practice address
675 SHERMAN ST, WEST CHICAGO, IL 60185-3343
(630) 379-2686
(630) 293-9161
Mailing address
PO BOX 225, WEST CHICAGO, IL 60186-0225
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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