Organization
JUNIOR MEDIC LLC
Active
Other names
Medical Supplies Express
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MWESIGWA RN (PRESIDENT/CEO)
(773) 382-0211
Entity
Organization
Contact information
Practice address
3029 E 92ND ST, CHICAGO, IL 60617-4500
(773) 382-0211
Mailing address
3029 E 92ND ST, CHICAGO, IL 60617-4500
(773) 382-0211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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