Organization
THE RIGHT FIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A LATHROP C. PED (OWNER)
(217) 234-3250
Entity
Organization
Contact information
Practice address
821 CHARLESTON AVE STE B, MATTOON, IL 61938-4202
(217) 234-3250
(217) 234-4323
Mailing address
821 CHARLESTON AVE STE B, MATTOON, IL 61938-4202
(217) 234-3250
(217) 234-4323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
10/01/2007
Last updated
11/14/2007
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