Organization
MJ MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE (MANAGING PARTNER)
(847) 647-6752
Entity
Organization
Contact information
Practice address
7501 N MILWAUKEE AVE, NILES, IL 60714-3614
(847) 647-6752
(815) 301-9010
Mailing address
7501 N MILWAUKEE AVE, NILES, IL 60714-3614
(847) 647-6752
(815) 301-9010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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