Organization
ILLINOIS DURABLE MEDICAL EQUIPMENT & SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERY DVORKIN (PRESIDENT)
(847) 548-8688
Entity
Organization
Contact information
Practice address
1099 N CORPORATE CIR, UNIT H & I, GRAYSLAKE, IL 60030-1688
(847) 548-8688
(847) 548-8686
Mailing address
1099 N CORPORATE CIR, UNIT H & I, GRAYSLAKE, IL 60030-1688
(847) 548-8688
(847) 548-8686
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
002
IL
Other
Enumeration date
03/05/2007
Last updated
07/21/2022
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