Organization
AMERICAN CLINICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B YOUNAN (ADMINISTRATOR)
(773) 279-5350
Entity
Organization
Contact information
Practice address
3101 W DEVON AVE # STO, CHICAGO, IL 60659-1407
(773) 279-5350
(847) 754-4991
Mailing address
3101 W DEVON STO, CHICAGO, IL 60659
(773) 279-5350
(847) 754-4991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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