ALVERNO LAKESIDE CORPORATION NPI 1124021266

NPI Information

  • NPI: 1124021266
  • Provider Name: ALVERNO LAKESIDE CORPORATION
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Doing Business As: ALVERNO ADVANCED LIFE SUPPORT SERVICE
  • Address: 20201 CRAWFORD AVE
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (708) 756-1200

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NPI Details

ALVERNO LAKESIDE CORPORATION is an ambulance in Olympia Fields, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). ALVERNO LAKESIDE CORPORATION NPI is 1124021266. The provider is registered as an organization entity type.
The provider Is Doing Business As Alverno Advanced Life Support Service.

The provider's business location address is:

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL
ZIP 60461-010
Phone: (708) 756-1200
Fax: (708) 481-5583

The provider's authorized official is John Slykas .
The authorized official title is Manager and has the following contact phone number (708) 747-4000.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 1/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance77967ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11626513OTHERILLINOISBCBS PROVIDER NUMBER
2590014070OTHERILLINOISMEDICARE RAILROAD
3=========02MEDICAIDILLINOIS
4587100MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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