Organization
ELLA'S BUBBLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAIMONIS MAGONE ETC (OWNER)
(312) 929-3057
Entity
Organization
Contact information
Practice address
2101 S CARPENTER ST, CHICAGO, IL 60608-4529
(312) 929-3057
Mailing address
2101 S CARPENTER ST, CHICAGO, IL 60608-4529
(312) 929-3057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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