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Organization

CHEVY CHASE CORP

Active
Other names
BRONZEVILLE PARK-OXY
Organization subpart
No

Provider details

NPI number
Authorized official
REUVEN LEVITIN (PATIENT ACCOUNTS MANAGER)
(847) 745-6240
Entity
Organization

Contact information

Practice address
3400 S INDIANA AVE, CHICAGO, IL 60616-3841
(312) 842-5000
(312) 842-3790
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
(847) 933-2600
(847) 933-0686

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0040592
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770654907
NPI IDENTIFIER
Enumeration date
04/01/2009
Last updated
04/01/2009
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