Organization
MEDEQUIP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN LIND (PRESIDENT)
(949) 443-4418
Entity
Organization
Contact information
Practice address
2863 95TH ST STE 143, NAPERVILLE, IL 60564-9006
(949) 443-4414
(949) 487-4768
Mailing address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4418
(949) 487-4768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203-001662
HMES
IL
01
—
203.001662
IL DIV OF PROFESSIONAL REGULATION HOME MEDICAL EQUIPMENT PROVIDER
IL
Enumeration date
02/06/2019
Last updated
01/20/2022
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