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Organization

CENTRAD HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM R KORSLIN (CEO)
(630) 369-5840
Entity
Organization

Contact information

Practice address
8549 CORDES CIR, #100, GERMANTOWN, TN 38139-3370
(901) 755-8412
Mailing address
184 SHUMAN BLVD, SUITE 130, NAPERVILLE, IL 60563-1219

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000001084
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000001084
HOME MEDICAL EQUIPMENT LICENSURE
TN
05
1519732
TN
Enumeration date
05/01/2013
Last updated
05/01/2013
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