Organization
PERINATAL HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIE MULCRONE (PRESIDENT / EXECUTIVE OFFICER)
(773) 517-2720
Entity
Organization
Contact information
Practice address
9635 S WINCHESTER AVE, CHICAGO, IL 60643-1613
(773) 517-2720
Mailing address
9449 S KEDZIE AVE STE 380, EVERGREEN PARK, IL 60805-2325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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