Organization
DATMCORP
Active
Organization
DATMCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G POLSKI (CEO)
(708) 625-5289
Entity
Organization
Contact information
Practice address
3600 W 95TH ST, EVERGREEN PARK, IL 60805-2106
(708) 625-5289
Mailing address
3600 W 95TH ST, EVERGREEN PARK, IL 60805-2106
(708) 625-5289
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
11/06/2010
Last updated
12/07/2011
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