Organization
PROVIDER PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
4932 BENCHMARK CENTRE DR STE 3&4, SWANSEA, IL 62226-2040
(618) 222-8800
(618) 222-8838
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
10/15/2025
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