Organization
CENTRAD HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R KORSLIN (CEO)
(630) 369-5840
Entity
Organization
Contact information
Practice address
205 NORTH 20TH ST STE 1005, BIRMINGHAM, AL 35203-3608
(205) 957-6563
Mailing address
184 SHUMAN BLVD STE 130, NAPERVILLE, IL 60563-8425
(630) 369-5840
(630) 369-5436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009959640
—
AL
01
—
605
HOME MEDICAL EQUIPMENT LICENSURE
AL
Enumeration date
01/08/2015
Last updated
01/08/2015
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