Organization
MIDWEST OPERATING ENGINEERS HEALTH AND WELFARE TRUST FUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BODLEY (ADMINISTRATIVE MANAGER)
(708) 482-7300
Entity
Organization
Contact information
Practice address
6150 JOLIET RD, COUNTRYSIDE, IL 60525-3956
(708) 482-7300
(708) 354-2642
Mailing address
6150 JOLIET RD, COUNTRYSIDE, IL 60525-3956
(708) 482-7300
(708) 354-2642
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
054.006213
IL
Other
Enumeration date
02/19/2007
Last updated
06/23/2008
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