Organization
SEAGATE HEALTH VENTURES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN KAMYKOWSKI (PRESIDENT)
(312) 560-7524
Entity
Organization
Contact information
Practice address
125 55TH ST, SUITE 102, CLARENDON HILLS, IL 60514-1599
(312) 560-7524
Mailing address
12518 S ROMA RD, PALOS PARK, IL 60464-1859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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