Organization
MELROSE MEDICAL SUPPLY COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN SWETLAND-PILATI O.D. (MANAGER)
(312) 860-3273
Entity
Organization
Contact information
Practice address
1811 N 19TH AVE, MELROSE PARK, IL 60160-2025
(312) 860-3273
Mailing address
1701 WALTON ST, MELROSE PARK, IL 60160-3433
(312) 860-3273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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