Organization
CROSSROADS MEDICAL SUPPLY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J FLYNN (VICE PRESIDENT)
(815) 791-6644
Entity
Organization
Contact information
Practice address
205 W JOLIET HWY, 205 W. JOLIET HWY., NEW LENOX, IL 60451-2111
(815) 791-6644
Mailing address
PO BOX 275, 205 W. JOLIET HWY., NEW LENOX, IL 60451-0275
(815) 791-6644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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