Organization
OAK LAWN MEDICAL DISTRIBUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BLAIR (DIRECTOR)
(773) 733-4226
Entity
Organization
Contact information
Practice address
4220 W 95TH ST, STE. 100, OAK LAWN, IL 60453-2793
(773) 733-4226
Mailing address
2045 W GRAND AVE, STE B #97551, CHICAGO, IL 60612
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
08/10/2022
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