Organization
LINCOLN MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL MAUER (PRESIDENT)
(847) 679-6725
Entity
Organization
Contact information
Practice address
3359 MAIN ST, SKOKIE, IL 60076-2432
(847) 679-6725
(847) 679-7377
Mailing address
3359 MAIN ST, SKOKIE, IL 60076-2432
(847) 679-6725
(847) 679-7377
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
20500078
IL
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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