Active Medical Supply Co.

NPI 1114255957 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1114255957
Enumeration Date 12/04/2009
Last Updated 12/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KELLY ANNE KELLY
Position PRESIDENT
Phone (708) 878-3736
Fax
Practice Location
8434 CORCORAN RD
WILLOW SPRINGS IL, 60480-1666, US
Phone (708) 878-3736
Fax
Business Location
8434 CORCORAN RD
WILLOW SPRINGS IL, 60480-1666, US
Phone (708) 878-3736
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
Remove 1114255957 NPI Number
 

According to our database, Active Medical Supply Co. NPI is 1114255957, taxonomy code is 332B00000X Active Medical Supply Co. physically located at 8434 Corcoran Rd, Willow Springs IL, 60480-1666. NPI Number 1033115704 has the healthcare provider type.

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1114255957 NPI number is provided on an as is basis without warranty of any kind. 1114255957 is maintained by the National Plan & Provider Enumeration System. The contents of Active Medical Supply Co. are for informational purposes only.