Organization
INTEGRA HEALTHCARE EQUIPMENT OF WISCONSIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EITAN SCHECHTER (PRESIDENT)
(630) 516-8320
Entity
Organization
Contact information
Practice address
2855 S 160TH ST, NEW BERLIN, WI 53151-3603
(888) 828-7729
Mailing address
747 N CHURCH RD, ELMHURST, IL 60126-1420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104033042
—
WI
Enumeration date
01/15/2013
Last updated
01/15/2013
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