Organization
VAN DRIELS MEDICAL SUPPORT WEAR CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA M BOYLE (PRESIDENT)
(847) 253-6494
Entity
Organization
Contact information
Practice address
720 E NORTHWEST HWY, MT PROSPECT, IL 60056-3442
(847) 253-6494
(847) 253-1028
Mailing address
720 E NORTHWEST HWY, MT PROSPECT, IL 60056-3442
(847) 253-6494
(847) 253-1028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
01/23/2008
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