Organization
KORONELL ENTERPRISES INC
Active
Other names
Care Medical Supply and Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE N AKOMAS-IKORO (PRESIDENT/CEO)
(708) 316-5222
Entity
Organization
Contact information
Practice address
601 N WILLIAMS ST, B-1, THORNTON, IL 60476-1097
(708) 316-5222
(708) 316-5220
Mailing address
601 N WILLIAMS ST, B-1, THORNTON, IL 60476-1097
(708) 316-5222
(708) 316-5220
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
203.000874
IL
Other
Enumeration date
02/14/2007
Last updated
02/09/2012
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