Organization
HOME BOUND HEALTHCARE MEDICAL EQUIPMENT & SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIETA R MITRA (PRESIDENT/SECRETARY/TREASURER)
(708) 615-0800
Entity
Organization
Contact information
Practice address
2307 W LAKE ST, MELROSE PARK, IL 60160-3622
(708) 615-0800
(708) 615-0808
Mailing address
2307 W LAKE ST, MELROSE PARK, IL 60160-3622
(708) 615-0800
(708) 615-0808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000910
IL
Other
Enumeration date
08/23/2007
Last updated
03/09/2017
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