Organization
MAXIM BANKEVICH
Active
Other names
IMDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIM BANKEVICH (PRESIDENT)
(847) 215-5099
Entity
Organization
Contact information
Practice address
4235 COMMERCIAL WAY, GLENVIEW, IL 60025-3573
(847) 215-5099
(847) 999-0478
Mailing address
340 PORTWINE RD, RIVERWOODS, IL 60015-3831
(847) 215-5099
(847) 999-0478
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
07/08/2011
Last updated
09/19/2012
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