Organization
ELMHURST MEMORIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R LURYE MD (CEO)
(331) 221-9053
Entity
Organization
Contact information
Practice address
172 E SCHILLER ST, ELMHURST, IL 60126-2816
(630) 834-1120
(630) 993-5681
Mailing address
172 SCHILLER, ELMHURST, IL 60126-2885
(331) 221-9053
(630) 758-9940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215149
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/13/2007
Last updated
05/06/2013
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