Organization
SOLERA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLIVIA F ACOSTA RCP (PRESIDENT)
(630) 271-1911
Entity
Organization
Contact information
Practice address
1645 S BLUE ISLAND AVE, CHICAGO, IL 60608-2133
(630) 271-1911
Mailing address
1645 S BLUE ISLAND AVE, CHICAGO, IL 60608-2133
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
64202804
IL
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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