Organization
ADVANCED ILLINOIS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES R BARRIGA (VICE PRESIDENT)
(847) 720-4310
Entity
Organization
Contact information
Practice address
2 W TALCOTT RD, STE. 32, PARK RIDGE, IL 60068-5556
(847) 720-4310
Mailing address
6640 N HARLEM AVE, STE. 1 N, CHICAGO, IL 60631-3935
(847) 720-4310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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