Organization
ZOUNDS HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ROLISON (OWNER/MANAGER)
(312) 291-9066
Entity
Organization
Contact information
Practice address
845 N MICHIGAN AVE, 983W, CHICAGO, IL 60611-2252
(312) 291-9066
Mailing address
845 N MICHIGAN AVE, 983W, CHICAGO, IL 60611-2252
(312) 291-9066
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2943
IL
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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