Organization
MIRACLE MEDICAL SUPPLY AND BILLING
Active
Other names
Miracle Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY FELDMAN (OWNER)
(847) 276-2838
Entity
Organization
Contact information
Practice address
175 N MILWAUKEE AVE STE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Mailing address
175 N MILWAUKEE AVE STE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
04/20/2008
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