Organization
COVENANT MEDICAL DEVICES AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL NDUBUISI OTUWA (MANAGING DIRECTOR)
(708) 754-7061
Entity
Organization
Contact information
Practice address
199A W JOE ORR ROAD, CHICAGO HEIGHTS, IL 60411
(708) 754-7061
(708) 754-8516
Mailing address
199A W JOE ORR ROAD, CHICAGO HEIGHTS, IL 60411
(708) 754-7061
(708) 754-8516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000482
IL
Other
Enumeration date
04/03/2007
Last updated
07/17/2008
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