Heritage Manor - Elgin, Llc

NPI 1013251727 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1013251727
Enumeration Date 11/19/2012
Last Updated 11/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CRAIG L CRAIG
Position EXEC VP, CFO
Phone (847) 697-6636
Fax (847) 742-6151
Practice Location
355 RAYMOND ST
ELGIN IL, 60120-7875, US
Phone (847) 697-6636
Fax (847) 742-6151
Business Location
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON IL, 61701-3946, US
Phone (309) 828-4361
Fax (309) 829-5477
Toxanomy
Taxonomy Code 332BX2000X
License State
License Number
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According to our database, Heritage Manor - Elgin, Llc NPI is 1013251727, taxonomy code is 332BX2000X Heritage Manor - Elgin, Llc physically located at 355 Raymond St, Elgin IL, 60120-7875. NPI Number 1033115704 has the healthcare provider type.

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1013251727 NPI number is provided on an as is basis without warranty of any kind. 1013251727 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Manor - Elgin, Llc are for informational purposes only.