Organization
CITY WIDE HOME MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN M CASTRO (OWNER)
(773) 640-0727
Entity
Organization
Contact information
Practice address
3209 N CENTRAL AVE, CHICAGO, IL 60634-4311
(773) 640-0727
Mailing address
3209 N CENTRAL AVE, CHICAGO, IL 60634-4311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1905338
IL
Other
Enumeration date
05/27/2008
Last updated
11/06/2009
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