Organization
LIFE STAR MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN MARCZEWSKI (PRESIDENT)
(708) 267-6020
Entity
Organization
Contact information
Practice address
2308 POETS LN, ALGONQUIN, IL 60102-6650
(708) 267-6020
Mailing address
2308 POETS LN, ALGONQUIN, IL 60102-6650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
06/18/2006
Last updated
01/08/2008
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