Organization
MEDIRECT, LLC
Active
Other names
ekneewalker
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL N HANLEY (PRESIDENT)
(773) 715-6258
Entity
Organization
Contact information
Practice address
5833 N LANSING AVE, CHICAGO, IL 60646-5646
(855) 662-7882
(855) 662-7882
Mailing address
5833 N LANSING AVE, CHICAGO, IL 60646-5646
(855) 662-7882
(855) 662-7882
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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