Organization
MEDWEST ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI WIJAS R.N. (ADMINISTRATOR)
(708) 202-1000
Entity
Organization
Contact information
Practice address
4425 HARRISON ST, HILLSIDE, IL 60162-1901
(708) 202-1000
(708) 236-0860
Mailing address
4425 HARRISON ST, HILLSIDE, IL 60162-1901
(708) 202-1000
(708) 236-0860
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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