Organization
KREG THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA I MAYORGA (MEDICARE BILLER SPECIALIST)
(312) 829-8904
Entity
Organization
Contact information
Practice address
14200 WEST COMMERCE ROAD, DALEVILLE, IN 47334
(773) 457-1408
(312) 829-8909
Mailing address
14200 WEST COMMERCE ROAD, DALEVILLE, IN 47334
(773) 457-1408
(312) 829-8909
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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