Organization
BRACE SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBEEN A KIDWAI (CEO)
(954) 381-2771
Entity
Organization
Contact information
Practice address
3855 W ESTES AVE, LINCOLNWOOD, IL 60712-1031
(954) 381-2771
Mailing address
3855 W ESTES AVE, LINCOLNWOOD, IL 60712-1031
(954) 381-2771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
About Stedi
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