Organization
BRIDGEMARK MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P MILLER (MBR)
(312) 994-2306
Entity
Organization
Contact information
Practice address
1140 LAKE ST, SUITE 410, OAK PARK, IL 60301-1049
(312) 994-2306
Mailing address
1140 LAKE ST, SUITE 410, OAK PARK, IL 60301-1049
(312) 994-2306
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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