Organization
DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA G THANUGUNDLA (PRESIDENT)
(773) 416-3800
Entity
Organization
Contact information
Practice address
9625 S COLFAX AVE, CHICAGO, IL 60617-4900
(773) 416-3800
(773) 728-6853
Mailing address
9625 S COLFAX AVE, CHICAGO, IL 60617-4900
(773) 416-3800
(773) 728-6853
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
203.000741
IL
Other
Enumeration date
05/20/2006
Last updated
05/05/2010
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