Organization
STARLIGHT MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN R BERSIE (CEO)
(815) 550-3354
Entity
Organization
Contact information
Practice address
1803 HOLIAN DR, SUITE D, SPRING GROVE, IL 60081-7934
(815) 550-3354
(815) 550-3355
Mailing address
100 S ATKINSON RD, SUITE 169, GRAYSLAKE, IL 60030-7817
(815) 550-3354
(815) 550-3355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000796
IL
Other
Enumeration date
01/03/2007
Last updated
05/18/2008
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