Organization
CAIN DURABLE MED EQUIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELLE J THOMAS (OWNER)
(708) 865-6393
Entity
Organization
Contact information
Practice address
4135 W 194TH CT, COUNTRY CLUB HILLS, IL 60478-5841
(708) 365-6393
(708) 365-6394
Mailing address
4135 W 194TH CT, COUNTRY CLUB HILLS, IL 60478-5841
(708) 365-6393
(708) 365-6394
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539110
—
IN
Enumeration date
01/09/2007
Last updated
10/13/2009
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