Organization
KINNICK MEDICAL LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE R RODRIGUEZ (PRINCIPAL)
(773) 425-0400
Entity
Organization
Contact information
Practice address
17W725 BUTTERFIELD RD STE D, OAKBROOK TERRACE, IL 60181-4279
(630) 656-1264
(773) 305-0949
Mailing address
17W725 BUTTERFIELD RD STE D, OAKBROOK TERRACE, IL 60181-4279
(630) 656-1264
(773) 305-0949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.001676
IL
Other
Enumeration date
10/13/2015
Last updated
07/28/2021
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