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Organization

DIETITIANS AT HOME THERAPEUTIC SHOES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE HALL (CFO)
(312) 850-3438
Entity
Organization

Contact information

Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 850-3434
(312) 638-9872
Mailing address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 850-3434
(312) 638-9872

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
IL

Other

Enumeration date
11/26/2014
Last updated
11/26/2014
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