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Organization

MIDWEST HOME MEDICAL SUPPLIES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY DAEHLER (PRESIDENT)
(815) 788-3272
Entity
Organization

Contact information

Practice address
111 ERICK ST, UNIT 128, CRYSTAL LAKE, IL 60014-1305
(815) 788-3272
(815) 788-3282
Mailing address
111 ERICK ST, UNIT 128, CRYSTAL LAKE, IL 60014-1305
(815) 788-3272
(815) 788-3282

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
IL

Other

Enumeration date
07/29/2010
Last updated
04/21/2011
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