Organization
OUTREACH MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UCHE MBAKWE (VICE PRESIDENT)
(309) 786-3541
Entity
Organization
Contact information
Practice address
1123 7TH AVE, SUITE 4, ROCK ISLAND, IL 61201-8449
(309) 786-3541
(309) 786-4573
Mailing address
1123 7TH AVE, SUITE 4, ROCK ISLAND, IL 61201-8449
(309) 786-3541
(309) 786-4573
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0578344
—
IA
Enumeration date
05/12/2006
Last updated
04/20/2008
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