Organization
ADVANCED RESPIRATORY SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIB TWERSKI (OWNER)
(718) 627-0600
Entity
Organization
Contact information
Practice address
3359 MAIN ST, SKOKIE, IL 60076-2432
(847) 679-3329
(847) 679-4765
Mailing address
3359 MAIN ST, SKOKIE, IL 60076-2432
(847) 679-3329
(847) 679-4765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
12553855
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621958
BCBS PROVIDER #
IL
Enumeration date
08/16/2006
Last updated
03/19/2010
Update your record
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