Organization
LAVA SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA TURGEL (PRESIDENT)
(847) 329-1238
Entity
Organization
Contact information
Practice address
7564 LINCOLN AVE, SKOKIE, IL 60077-3335
(847) 329-1238
(847) 329-1255
Mailing address
4011 AMALFI DR, GLENVIEW, IL 60025-5634
(847) 329-1238
(847) 329-1255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348900572001
—
IL
Enumeration date
05/19/2006
Last updated
04/10/2020
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