Organization
PERFUSION SOURCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD WASHINGTON CCP (PRESIDENT)
(773) 731-7373
Entity
Organization
Contact information
Practice address
7725 S EAST END AVE, CHICAGO, IL 60649-4503
(773) 731-7373
Mailing address
7725 S EAST END AVE, CHICAGO, IL 60649-4503
(773) 731-7373
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6519 MC
IL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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