Organization
PERSONAL MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A MC CHANCY (OWNER)
(217) 422-1271
Entity
Organization
Contact information
Practice address
373 W 1ST DR, DECATUR, IL 62521-5207
(217) 422-1271
(217) 422-7066
Mailing address
373 W 1ST DR, DECATUR, IL 62521-5207
(217) 422-1271
(217) 422-7066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203-000093
IL
Other
Enumeration date
09/20/2005
Last updated
10/17/2014
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