Organization
RDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R YESSENOW MD (PRESIDENT)
(219) 756-8808
Entity
Organization
Contact information
Practice address
11360 BROADWAY, CROWN POINT, IN 46307-7197
(219) 662-2279
(219) 662-2123
Mailing address
5355 COMMERCE BLVD, CROWN POINT, IN 46307-5325
(219) 756-8808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PENDING
IN
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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