Organization
A PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON A DAGIO (OWNER)
(312) 217-0295
Entity
Organization
Contact information
Practice address
799 ROOSEVELT RD, BUILDING 3, ROOM 104C, GLEN ELLYN, IL 60137-5908
(630) 545-0433
(630) 545-0433
Mailing address
799 ROOSEVELT RD, BUILDING 3, ROOM 104C, GLEN ELLYN, IL 60137-5908
(630) 545-0433
(630) 545-0433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1771033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5595070001
NATIONAL GOVERNMENT SERVICES
IL
Enumeration date
05/01/2008
Last updated
10/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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