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Organization

DIVINE SERVICE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA NICOLE GILLS (PRESIDENT)
(630) 379-2686
Entity
Organization

Contact information

Practice address
675 SHERMAN ST, WEST CHICAGO, IL 60185-3343
(630) 379-2686
Mailing address
675 SHERMAN ST, WEST CHICAGO, IL 60185-3343
(630) 379-2686

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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