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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