Organization
INTEGRA MEDICAL SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN LEONG MANGUERRA R.N (PRESIDENT)
(773) 934-3977
Entity
Organization
Contact information
Practice address
3312 W 111TH ST UNIT A, CHICAGO, IL 60655-2747
(877) 437-6141
(866) 205-6594
Mailing address
3312 W. 111TH ST., UNIT A, CHICAGO, IL 60655-2747
(877) 437-6141
(866) 205-6594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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