Organization
VALLEY REGIONAL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL A. CONDRON (PRESIDENT)
(815) 223-4422
Entity
Organization
Contact information
Practice address
518 3RD ST, LA SALLE, IL 61301-2402
(815) 223-4422
(815) 223-4429
Mailing address
518 3RD ST, PO BOX 1134, LA SALLE, IL 61301-2402
(815) 223-4422
(815) 223-4429
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
IL
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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