Healthcare Provider Details

I. General information

NPI: 1780507772
Provider Name (Legal Business Name): RESCUE 8 EMS DIVISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11954 S STATE ST
CHICAGO IL
60628
US

IV. Provider business mailing address

11954 S STATE ST
CHICAGO IL
60628
US

V. Phone/Fax

Practice location:
  • Phone: 872-702-4458
  • Fax:
Mailing address:
  • Phone: 872-702-4458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SAQUAN GHOLAR
Title or Position: DIRECTOR AND FOUNDER
Credential: EMT-BASIC
Phone: 872-702-4458