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Organization
INTERNATIONAL CONSULTING GROUP
Active
Organization
INTERNATIONAL CONSULTING GROUP
Active
Other names
ICG ASSISTIVE TECHNOLOGY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IWONA KORZENIOWSKA PT (PRESIDENT)
(312) 943-3600
Entity
Organization
Contact information
Practice address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096
Mailing address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
(312) 943-3096
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
203000284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
02/12/2009
Last updated
04/18/2024
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