Organization
TELA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MELNICK (PRESIDENT)
(847) 964-9684
Entity
Organization
Contact information
Practice address
3701 COMMERCIAL AVE, SUITE 17, NORTHBROOK, IL 60062-1800
(847) 964-9684
(847) 964-9685
Mailing address
3701 COMMERCIAL AVE, SUITE 17, NORTHBROOK, IL 60062-1800
(847) 964-9684
(847) 964-9685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/15/2013
Last updated
11/01/2016
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