Organization
MOBILITY CENTER OF CHICAGO
Active
Other names
Amigo Mobility Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA NOEMI MARTINEZ (REIMBURSEMENT MANAGER)
(630) 268-8670
Entity
Organization
Contact information
Practice address
706 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2563
(217) 355-7971
(217) 355-8619
Mailing address
17W620 14TH ST, OAKBROOK TERRACE, IL 60181-3768
(630) 268-8670
(630) 268-8667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000634
IL
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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