Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifeguard Ambulance Service of Illinois Inc

Organization Ambulance · NPI 1255832564

Lifeguard Ambulance Service of Illinois Inc is an Ambulance in Macomb, Illinois. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

219 W Jackson St
Macomb, IL 61455-2110
Phone: (309) 575-3911
Fax: (309) 833-2140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Land Ambulance (primary) Taxonomy 3416L0300X
Ambulance Taxonomy 341600000X

Record details

NPI number1255832564
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifeguard Ambulance Service of Illinois Inc
Authorized official Brian Tierney — Evp, Chief Financial Officer · (833) 703-2294
NPI enumeratedFebruary 22, 2018
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing addressPo Box 847199, Dallas, TX 75284-7199

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