Organization
BUCKINGHAM PAVILION INC
Active
Other names
buckingham pavilion inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIRA ZLATOPOLSKY (BOOKKEEPPER)
(773) 973-5333
Entity
Organization
Contact information
Practice address
2625 W TOUHY AVE, CHICAGO, IL 60645-3109
(773) 973-5333
Mailing address
2625 W TOUHY AVE, CHICAGO, IL 60645-3109
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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