Organization
1 STOP MEDICAL SUPPLY SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BANKS (OWNER)
(773) 892-5051
Entity
Organization
Contact information
Practice address
1055 W BRYN MAWR AVE, STE F252, CHICAGO, IL 60660-4691
(773) 892-5051
(855) 839-7078
Mailing address
1055 W BRYN MAWR AVE, STE F252, CHICAGO, IL 60660-4691
(773) 892-5051
(855) 839-7078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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