Organization
PROGRESSIVE MEDICAL & HOSPITAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK UDONKANG (PRESIDENT)
(708) 687-8340
Entity
Organization
Contact information
Practice address
15534 SOUTH CICERO AVE, OAK FOREST, IL 60452-3602
(708) 687-8340
Mailing address
15534 SOUTH CICERO AVE, OAK FOREST, IL 60452-3602
(708) 687-8340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000665
IL
343800000X
Secured Medical Transport (VAN)
203.000665
IL
343900000X
Non-emergency Medical Transport (VAN)
203.000665
IL
Other
Enumeration date
03/20/2007
Last updated
06/16/2009
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