Organization
AFFINITY MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMUALDO BRUM ROCHA (PRESIDENT)
(847) 285-1758
Entity
Organization
Contact information
Practice address
2182 GLADSTONE CT, SUITE C, GLENDALE HEIGHTS, IL 60139-1517
(847) 285-1758
(847) 285-1759
Mailing address
2182 GLADSTONE CT, SUITE C, GLENDALE HEIGHTS, IL 60139-1517
(847) 285-1758
(847) 285-1759
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
39923691
IL
Other
Enumeration date
06/25/2010
Last updated
04/07/2011
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