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Organization

BAXTER SUPPLY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILL M SCHAAF (PRESIDENT)
(847) 473-6121
Entity
Organization

Contact information

Practice address
1 BAXTER PKWY, DEERFIELD, IL 60015-4625
(847) 940-5353
(847) 940-5350
Mailing address
1 BAXTER PKWY, DEERFIELD, IL 60015-4625
(847) 940-5353
(847) 940-5350

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000687
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000237600
ID
05
003020260
CT
01
004970096
BCBS
IL
05
00828428
NY
05
0306645
OH
05
100003830B
IN
05
100793810A
OK
05
117863600
MN
05
117863600
ND
05
121840601
TX
05
123341741
AR
05
1336025
LA
05
4580593
TN
05
4836880
MS
05
7501749
MA
05
90072331
KY
Enumeration date
05/10/2006
Last updated
04/20/2008
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