Organization
COUNTRY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA MUCHNIK (OWNER)
(847) 454-1300
Entity
Organization
Contact information
Practice address
1501 W DUNDEE RD, SUITE 107, BUFFALO GROVE, IL 60089-4006
(847) 454-1300
(847) 454-1301
Mailing address
1501 W DUNDEE RD, SUITE 107, BUFFALO GROVE, IL 60089-4006
(847) 454-1300
(847) 454-1301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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