Organization
PLD MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GORELIC (PRESIDENT)
(773) 465-5260
Entity
Organization
Contact information
Practice address
6420 N CALIFORNIA AVE, SUITE202, CHICAGO, IL 60645-5253
(773) 465-5260
(773) 465-5261
Mailing address
6420 N CALIFORNIA AVE, SUITE202, CHICAGO, IL 60645-5253
(773) 465-5260
(773) 465-5261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632228
BCBS OF ILLINOIS
IL
Enumeration date
07/21/2005
Last updated
08/22/2020
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