Organization
SHARON K PICKLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON K PICKLES (OWNER/OPERATOR)
(815) 237-8322
Entity
Organization
Contact information
Practice address
302 S CENTER ST, GARDNER, IL 60424-6176
(815) 237-8322
Mailing address
302 S CENTER ST, GARDNER, IL 60424-6176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
06/16/2008
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