Organization
REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH D. CARTER (GENERAL MANAGER)
(773) 445-7470
Entity
Organization
Contact information
Practice address
11736 S WESTERN AVE, CHICAGO, IL 60643-4732
(773) 445-7482
(773) 445-7522
Mailing address
11736 S WESTERN AVE, CHICAGO, IL 60643-4732
(773) 445-7482
(773) 445-7522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/07/2005
Last updated
08/22/2008
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