Organization
WEST LOOP MEDICAL EQUIPMENT AND SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST EDWARD ELLISON P.A. (PRESIDENT)
(312) 243-0583
Entity
Organization
Contact information
Practice address
115 N DAMEN AVE, CHICAGO, IL 60612-2481
(312) 243-0583
(312) 243-3637
Mailing address
115 N DAMEN AVE, CHICAGO, IL 60612-2481
(312) 243-0583
(312) 243-3637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203001516
IL
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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