Organization
C & S SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULECE GLAUM (COO)
(312) 846-6121
Entity
Organization
Contact information
Practice address
1255 S MICHIGAN AVE, 902, CHICAGO, IL 60605-3286
(312) 846-6121
Mailing address
1255 S MICHIGAN AVE, 902, CHICAGO, IL 60605-3286
(312) 846-6121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55325394
IL
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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