Organization
CENTRAD HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R KORSLIN (CEO)
(630) 369-5840
Entity
Organization
Contact information
Practice address
5110 GRANITE ST, SUITE C, LOVELAND, CO 80538-1687
(970) 775-2149
Mailing address
184 SHUMAN BLVD, STE 130, NAPERVILLE, IL 60563-1219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.001067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18130372
—
CO
Enumeration date
01/15/2015
Last updated
11/06/2015
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