Organization
LCM HOME HEALTH EQUIPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STANLEY (GENERAL MANAGER)
(708) 499-0071
Entity
Organization
Contact information
Practice address
5610 W 95 ST, OAK LAWN, IL 60453
(708) 499-0071
(708) 499-4415
Mailing address
5610 W 95 ST, OAK LAWN, IL 60453
(708) 499-0071
(708) 499-4415
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131626700
US DEPTARTMENT OF LABOR
IL
01
—
1670691
BLUE CROSS BLUE SHIELD
IL
01
—
455642
AETNA
IL
01
—
56647
DMENSION
IL
01
—
56647
NATIONAL PROVIDER NETWORK
MI
01
—
L016420
TRICARE
IL
Enumeration date
01/12/2006
Last updated
06/13/2008
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