Organization
VANTIL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF S VANTIL (OWNER/PRESIDENT)
(219) 926-5400
Entity
Organization
Contact information
Practice address
320 S CALUMET RD, CHESTERTON, IN 46304-2451
(219) 926-5400
(219) 926-3400
Mailing address
320 S CALUMET RD, CHESTERTON, IN 46304-2451
(219) 926-5400
(219) 926-3400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0107991527
IN
Other
Enumeration date
06/30/2006
Last updated
01/24/2008
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