Organization
ELMHURST MEMORIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R LURYE MD (CEO)
(630) 993-5676
Entity
Organization
Contact information
Practice address
130 S MAIN ST, LOMBARD, IL 60148-2670
(630) 834-1120
(630) 993-5681
Mailing address
130 S MAIN ST, LOMBARD, IL 60148-2670
(630) 834-1120
(630) 993-5681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215149
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/12/2007
Last updated
03/29/2010
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