Organization
CYPRESS MEDICAL DISTRIBUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BLAIR (AUTHORIZED REPRESENTATIVE)
(312) 598-2630
Entity
Organization
Contact information
Practice address
2045 W GRAND AVE STE B, PMB #97551, CHICAGO, IL 60612
(312) 598-2630
Mailing address
2045 W GRAND AVE STE B, PMB #97551, CHICAGO, IL 60612
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
08/15/2022
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