Organization
MEDICAL SHIPMENT, LLC
Active
Other names
Medical Shipment
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MICIC (CEO)
(847) 253-3000
Entity
Organization
Contact information
Practice address
70 LIVELY BLVD, ELK GROVE VILLAGE, IL 60007-1619
(847) 253-3000
(847) 506-0524
Mailing address
70 LIVELY BLVD, ELK GROVE VILLAGE, IL 60007-1619
(847) 253-3000
(847) 506-0524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004.003232
IL
Other
Enumeration date
04/05/2018
Last updated
06/11/2019
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