Organization
MEDICAL SERVICE COMPANY
Active
Organization
MEDICAL SERVICE COMPANY
Active
Other names
Medical Service Company of IL
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SMITH (COMPLIANCE OPERATIONS SUPERVISOR)
(440) 735-3096
Entity
Organization
Contact information
Practice address
900 MAIN ST STE 300, PEORIA, IL 61602-1049
(309) 588-3108
Mailing address
24000 BROADWAY AVE, OAKWOOD VILLAGE, OH 44146-6329
(404) 232-3000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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