Organization
GNC MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR K PATEL (PRESIDENT)
(224) 766-1061
Entity
Organization
Contact information
Practice address
961 1/2 ELMHURST RD, DES PLAINES, IL 60016-5606
(224) 766-1061
Mailing address
961 1/2 ELMHURST RD, DES PLAINES, IL 60016-5606
(224) 766-1061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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