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
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