NPIMap

Organization Active NPI

Lifestar Medicar

  • Non-emergency Medical Transport (VAN)
  • Algonquin, IL
National Provider Identifier
1962655118
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
N62272059076 Issued in IL
Legal business name
LIFESTAR MEDICAR
Practice address
2308 Poets LN
Algonquin, IL 60102-6650
Phone
(708) 267-6020
NPI assigned
Nov 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roman Marczewski
Title
President
Phone
(708) 267-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X N62272059076 IL Primary

Addresses

Primary practice location

2308 Poets LN
Algonquin, IL 60102-6650

Mailing address

2308 Poets LN
Algonquin, IL 60102-6650
Phone (708) 267-6020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1962655118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 POETS LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026650",
            "telephone_number": "708-267-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 POETS LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026650",
            "telephone_number": "708-267-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR MEDICAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "MARCZEWSKI",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-267-6020"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "N62272059076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.