Organization
VESTORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURTON PHILLIPS (PRESIDENT)
(312) 259-3953
Entity
Organization
Contact information
Practice address
430 HOMELAND RD, MATTESON, IL 60443-1883
(312) 259-3953
Mailing address
430 HOMELAND RD, MATTESON, IL 60443-1883
(312) 259-3953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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