Organization
HARVEST MEDICAL SUPPLY, LTD
Active
Other names
Harvest Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA E VALE (PRESIDENT)
(773) 853-0901
Entity
Organization
Contact information
Practice address
1550 E. HIGGINS RD., STE #105, ELK GROVE VILLAGE, IL 60007-1687
(773) 853-0901
(773) 930-3920
Mailing address
1550 E. HIGGINS RD., STE #105, ELK GROVE VILLAGE, IL 60007-1687
(773) 853-0901
(773) 930-3920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1245812
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633265
BCBS OF ILLINOIS
IL
Enumeration date
05/26/2006
Last updated
04/05/2012
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