Organization
LIFESTAR MEDICAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN MARCZEWSKI (PRESIDENT)
(708) 267-6020
Entity
Organization
Contact information
Practice address
2308 POETS LN, ALGONQUIN, IL 60102-6650
(708) 267-6020
Mailing address
2308 POETS LN, ALGONQUIN, IL 60102-6650
(708) 267-6020
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N62272059076
IL
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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