Organization
ARMOR MEDICAL SUPPLY CHICAGO WEST
Active
Other names
Armor Medical Chicago West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIMBREL DWANE STEPHEN (VICE PRESIDENT)
(708) 557-5074
Entity
Organization
Contact information
Practice address
2923 W JACKSON BLVD, CHICAGO, IL 60612-3635
(708) 557-5074
(815) 469-2398
Mailing address
2923 W JACKSON BLVD, CHICAGO, IL 60612-3635
(708) 557-5074
(815) 469-2398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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