Organization
LUCY'S MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON ONYKACHUKWU EGBUNA (PRESIDENT)
(773) 454-3392
Entity
Organization
Contact information
Practice address
8121 S COTTAGE GROVE AVE, CHICAGO, IL 60619-5103
(773) 723-9750
(773) 723-9751
Mailing address
8121 S COTTAGE GROVE AVE, CHICAGO, IL 60619-5103
(773) 723-9750
(773) 723-9751
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
10/10/2007
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