Organization
KREG THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA I MAYORGA (MEDICARE BILLER)
(312) 829-8909
Entity
Organization
Contact information
Practice address
11040 LIN VALLE DR, SUITE E, SAINT LOUIS, MO 63123-7210
(312) 829-8909
(312) 829-8909
Mailing address
2240 W WALNUT ST, CHICAGO, IL 60612-2218
(312) 829-8904
(312) 829-8909
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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