Organization
SHORELINE MEDICAL EQUIPMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIECE EVANS (MANAGER)
(773) 886-1533
Entity
Organization
Contact information
Practice address
320 S. CALIFORNIA AVE, STE 1, CHICAGO, IL 60612
(773) 886-1533
(773) 886-1642
Mailing address
320 S. CALIFORNIA AVE, STE 1, CHICAGO, IL 60612-3693
(773) 886-1533
(773) 886-1642
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
12/17/2019
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