Organization
FITZSIMMONS SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J FITZSIMMONS (PRESIDENT)
(708) 532-1199
Entity
Organization
Contact information
Practice address
8000 186TH ST, TINLEY PARK, IL 60487-9215
(708) 532-1199
Mailing address
PO BOX 1127, TINLEY PARK, IL 60477-7927
(708) 532-1199
(708) 532-4411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670010
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
09/27/2006
Last updated
11/02/2022
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