Organization
CENTRAL IL MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M MARTIN (OWNER)
(309) 828-2242
Entity
Organization
Contact information
Practice address
203 E LOCUST ST STE 2, BLOOMINGTON, IL 61701-8432
(309) 827-3459
(309) 827-4638
Mailing address
203 E LOCUST ST STE 2, BLOOMINGTON, IL 61701-8432
(309) 827-3459
(309) 827-4638
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203000065
LICESNSE NUMBER
IL
Enumeration date
03/22/2006
Last updated
11/25/2025
Update your record
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