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Organization

INFINITE MEDICAL SUPPLY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESTER LAUREL (OWNER)
(847) 912-6646
Entity
Organization

Contact information

Practice address
7177 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2210
(847) 912-6646
(847) 674-9888
Mailing address
7177 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2210
(847) 912-6646
(847) 674-9888

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203000887
STATE OF ILLINOIS LICENSE
IL
01
5879660001
NATIONAL GOVERNMENT SERVICES
IL
Enumeration date
01/05/2007
Last updated
09/23/2011
Update your record

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