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Organization

ALLURE OF MENDOTA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NUDELL (VICE PRESIDENT)
(773) 338-4400
Entity
Organization

Contact information

Practice address
1201 1ST AVE, MENDOTA, IL 61342-1815
(815) 539-6745
Mailing address
2711 W HOWARD ST, CHICAGO, IL 60645-1303
(773) 338-4400

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
06/06/2023
Last updated
08/31/2023
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