Organization
BIOMAX REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS BONUTTI (CHIEF OPERATING OFFICER)
(217) 342-3412
Entity
Organization
Contact information
Practice address
1303 W EVERGREEN AVE, STE 102, EFFINGHAM, IL 62401-1619
(217) 342-5211
(217) 540-7522
Mailing address
PO BOX 1387, EFFINGHAM, IL 62401-1387
(217) 342-5211
(217) 540-7522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
01/09/2020
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