Organization
MIRACLE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY FELDMAN (OWNER)
(847) 276-2838
Entity
Organization
Contact information
Practice address
175 N MILWAUKEE AVE, SUITE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Mailing address
175 N MILWAUKEE AVE, SUITE 300, VERNON HILLS, IL 60061-4302
(847) 276-2838
(847) 276-2839
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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