Organization
PULMONARY PROVIDERS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERZY FISZER (PRESIDENT)
(847) 226-3049
Entity
Organization
Contact information
Practice address
4521 W.LAWRENCE AVE, STE.110, CHICAGO, IL 60630-2585
(847) 824-0500
(847) 824-0529
Mailing address
4521 W. LAWRENCE AVE., STE.110, CHICAGO, IL 60630-2585
(847) 824-0500
(847) 824-0529
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203-
IL
Other
Enumeration date
01/29/2007
Last updated
05/02/2017
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