Organization
WOODLAKE TECHNOLOGIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH SAMEK (PRESIDENT)
(312) 733-9800
Entity
Organization
Contact information
Practice address
666 W. HUBBARD ST, SUITE 3, CHICAGO, IL 60654-5509
(312) 733-9800
(312) 243-9284
Mailing address
666 W. HUBBARD ST., SUITE 3, CHICAGO, IL 60654-5509
(312) 733-9800
(312) 243-9284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28913027
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4839277
—
MI
Enumeration date
01/18/2007
Last updated
09/16/2015
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