Organization
COAST MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO URBINA (OWNER)
(773) 495-3796
Entity
Organization
Contact information
Practice address
40 E. CHICAGO AVE, SUITE 149, CHICAGO, IL 60611
(773) 495-3796
(888) 775-0887
Mailing address
40 E. CHICAGO AVE, SUITE 149, CHICAGO, IL 60611
(773) 495-3796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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