Organization
S & S DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY ALEXANDER (OWNER)
(773) 298-9334
Entity
Organization
Contact information
Practice address
1832 W 95TH ST, CHICAGO, IL 60643-1104
(773) 298-9334
(773) 298-9336
Mailing address
1832 W 95TH ST, CHICAGO, IL 60643-1104
(773) 298-9334
(773) 298-9336
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622105
BCBS
IL
Enumeration date
12/07/2006
Last updated
07/21/2022
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