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Organization
MIRACLE MEDICAL SUPPLY AND BILLING
Active
Organization
MIRACLE MEDICAL SUPPLY AND BILLING
Active
Other names
Miracle Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY FELDMAN (OWNER)
(847) 276-2838
Entity
Organization
Contact information
Practice address
175 N MILWAUKEE AVE STE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Mailing address
175 N MILWAUKEE AVE STE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
04/20/2008
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