Organization
FITZSIMMONS SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J FITZSIMMONS (PRESIDENT)
(708) 532-1199
Entity
Organization
Contact information
Practice address
6177 BROADWAY, MERRILLVILLE, IN 46410-3001
(219) 887-7718
(219) 887-0460
Mailing address
PO BOX 1127, TINLEY PARK, IL 60477-7927
(708) 532-1199
(708) 532-4411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100278530
—
IN
01
—
1670010
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
09/27/2006
Last updated
11/02/2022
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