Organization
GRAYMONT EQUIPMENT DISTRIBUTION, LLC
Active
Other names
Graymont Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE BEASLEY (CEO)
(312) 291-9305
Entity
Organization
Contact information
Practice address
2214 W HUBBARD ST, CHICAGO, IL 60612-1614
(312) 291-9305
(312) 896-1436
Mailing address
2214 W HUBBARD ST, CHICAGO, IL 60612-1614
(312) 291-9305
(312) 896-1436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/19/2012
Last updated
01/16/2025
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