Organization
UNIVERSE OPTIMAX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY HOM (OWNER)
(847) 414-5001
Entity
Organization
Contact information
Practice address
5632 DEMPSTER ST, MORTON GROVE, IL 60053-3100
(847) 414-5001
(877) 578-0906
Mailing address
PO BOX 162, MORTON GROVE, IL 60053-0162
(847) 414-5001
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
08/26/2014
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