Organization
NK MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIETIE KING (PRESIDENT)
(708) 925-0532
Entity
Organization
Contact information
Practice address
3300 147TH ST STE B, MIDLOTHIAN, IL 60445-3612
(708) 925-0532
(708) 925-0542
Mailing address
3300 147TH ST STE B, MIDLOTHIAN, IL 60445-3612
(708) 925-0532
(708) 925-0542
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
002
IL
Other
Enumeration date
03/26/2007
Last updated
07/21/2022
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