Organization
BRANC MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCTIZIC (PRESIDENT)
(708) 339-7900
Entity
Organization
Contact information
Practice address
17135 WESTVIEW AVE, SOUTH HOLLAND, IL 60473-2755
(708) 339-7900
Mailing address
17135 WESTVIEW AVE, SOUTH HOLLAND, IL 60473-2755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41732900
—
WI
Enumeration date
05/23/2007
Last updated
08/22/2020
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