Organization
BARONS SHOES OF MT GREENWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE MYERS (PRESIDENT)
(773) 238-6100
Entity
Organization
Contact information
Practice address
3101 W 111TH ST, CHICAGO, IL 60655-2205
(773) 238-6100
Mailing address
3101 W 111TH ST, CHICAGO, IL 60655-2205
(773) 238-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
07/18/2008
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