Organization
DE SA UNIVERSAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SADKHIN (PRESIDENT)
(847) 406-5176
Entity
Organization
Contact information
Practice address
912 N GREENBAY RD, WAUKEGAN, IL 60085
(847) 406-5176
(847) 406-5177
Mailing address
912 N GREENBAY RD, WAUKEGAN, IL 60085
(847) 406-5176
(847) 406-5177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364010145001
—
IL
Enumeration date
07/12/2007
Last updated
10/22/2008
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