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Organization

BLOOMINGTON MEDICAL DISTRIBUTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA REDONDO (GENERAL COUNSEL)
(309) 306-7574
Entity
Organization

Contact information

Practice address
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704-8111
(309) 306-7574
Mailing address
2045 W GRAND AVE, STE B #97551, CHICAGO, IL 60612
(309) 306-7574

Taxonomy

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

Other

Enumeration date
01/09/2017
Last updated
05/06/2019
About Stedi
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  • EDI platform