Organization
INDEPENDENT FOR LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT NUDD JR. (MANAGER)
(866) 494-1948
Entity
Organization
Contact information
Practice address
4015 PROGRESS BLVD, PERU, IL 61354-1123
(866) 494-1948
(815) 780-1688
Mailing address
4015 PROGRESS BLVD, PERU, IL 61354-1123
(866) 494-1948
(815) 780-1688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000841
IL
Other
Enumeration date
01/11/2007
Last updated
12/15/2009
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