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Organization

ALPHA AMERICAN MEDICAL SUPPLY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALYAN RAJ BOLLA (CEO / MANAGER)
(630) 473-4770
Entity
Organization

Contact information

Practice address
1800 W HAWTHORNE LN STE N1-323, WEST CHICAGO, IL 60185-1845
(630) 473-4770
(630) 621-9107
Mailing address
1800 W HAWTHORNE LN STE N1-323, WEST CHICAGO, IL 60185-1845
(630) 473-4770
(630) 621-9107

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/02/2021
Last updated
10/16/2024
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