Organization
CATALOG-ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYCE GARBUTT (CEO)
(800) 633-0374
Entity
Organization
Contact information
Practice address
1500 N HALSTED ST, CHICAGO, IL 60642-2517
(800) 633-0374
Mailing address
1500 N HALSTED ST, CHICAGO, IL 60642-2517
(800) 633-0374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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