Organization
G MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G (OWNER)
(319) 621-4129
Entity
Organization
Contact information
Practice address
1838 W CHICAGO AVE, CHICAGO, IL 60622-5595
(319) 621-4129
Mailing address
1838 W CHICAGO AVE, CHICAGO, IL 60622-5595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
05/08/2017
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