LIFESAVER HEALTHCARE LLC NPI 1932784006

NPI Information

NPI: 1932784006
Provider Name: LIFESAVER HEALTHCARE, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D2214058

Address:
7929 S YATES BLVD SUITE 201
CHICAGO, IL
ZIP 60617
Phone: (877) 799-7412
Get Directions

LIFESAVER HEALTHCARE, LLC is a multi-specialty clinic center in Chicago, IL. LIFESAVER HEALTHCARE, LLC NPI is 1932784006. The provider is registered as an organization entity type.

The provider's business location address is:

7929 S YATES BLVD SUITE 201
CHICAGO, IL
ZIP 60617
Phone: (877) 799-7412
Fax: (773) 922-0178

The provider's authorized official is Brandy Lynn Hanson .
The authorized official title is Nurse Practitioner and has the following contact phone number (773) 552-2465.

The CLIA number assigned to this NPI record is 14D2214058 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 3/10/2021.

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	Primary
1	291U00000X	Clinical Medical Laboratory		No
2	363L00000X	Nurse Practitioner		No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 11/14/2023

NPI Synchronization or Removal

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