Organization
PRODIGY MEDICAL & HOSPITAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKAETE G. OBONG (BUSSINESS MANAGER)
(708) 747-1900
Entity
Organization
Contact information
Practice address
430 WEST 14TH STREET (LINCOLN HIGHWAY), CHICAGO HEIGHTS, IL 60411-2663
(708) 747-1900
(708) 747-8700
Mailing address
430 WEST 14TH STREET (LINCOLN HIGHWAY), CHICAGO HEIGHTS, IL 60411-2663
(708) 747-1900
(708) 747-8700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001
IL
Other
Enumeration date
03/26/2007
Last updated
07/21/2022
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