Organization
BOOMERS MEDICAL GEAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN KING (LLC SENIOR MEMBER)
(630) 440-2164
Entity
Organization
Contact information
Practice address
4701 N CUMBERLAND AVE SUITE 12, NORRIDGE, IL 60706-2905
(708) 452-8800
(708) 452-7990
Mailing address
4701 N CUMBERLAND AVE SUITE 12, NORRIDGE, IL 60706-2905
(708) 452-8800
(708) 452-7990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/11/2021
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