Organization
COLONIAL MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON I NOTTERMAN (PRESIDENT)
(847) 247-4770
Entity
Organization
Contact information
Practice address
340 ASHWOOD CT, VERNON HILLS, IL 60061-2335
(847) 247-4770
Mailing address
340 ASHWOOD CT, VERNON HILLS, IL 60061-2335
(847) 247-4770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000369
IL
Other
Enumeration date
06/26/2006
Last updated
04/02/2009
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