Organization
KREG THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA I MAYORGA (MEDICARE BILLER)
(312) 829-8904
Entity
Organization
Contact information
Practice address
1300 WASHINGTON ROAD, WASHINGTON, IL 61571-2368
(312) 829-8909
(312) 829-8909
Mailing address
1300 WASHINGTON RD, WASHINGTON, IL 61571-2368
(312) 829-8904
(312) 829-8909
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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