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Organization

MIDWEST MED SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAY KUMAR VERMA (PRESIDENT)
(224) 770-0889
Entity
Organization

Contact information

Practice address
6224 N PULASKI RD, CHICAGO, IL 60646-5114
(224) 770-0889
Mailing address
6224 N PULASKI RD, CHICAGO, IL 60646-5114

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/05/2022
Last updated
06/24/2023
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