Organization
CELESTIAL HOME MEDICAL SUPPLY AND EQUIPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA JEFFRIES LCSW (PRESIDENT)
(773) 531-7392
Entity
Organization
Contact information
Practice address
9449 S KEDZIE AVE, SUITE 213, EVERGREEN PARK, IL 60805-2325
(773) 531-7392
(773) 363-3621
Mailing address
9449 S KEDZIE AVE, SUITE 213, EVERGREEN PARK, IL 60805-2325
(773) 531-7392
(773) 363-3621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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