Organization
CHICAGOLAND AD MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KRAUSE (PRESIDENT)
(773) 292-1940
Entity
Organization
Contact information
Practice address
1525 W HOMER ST, #301, CHICAGO, IL 60642-1280
(773) 292-1940
(773) 292-1939
Mailing address
1525 W HOMER ST, #301, CHICAGO, IL 60642-1280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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