Vital Medical Network
Durable Medical Equipment & Medical Supplies in Chicago, IL. Organization (NPI-2).
NPI number1124586151
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1124586151
- Entity type
- Organization (NPI-2)
- Legal business name
- Vital Medical Network
- Organization subpart
- No
- Enumeration date
- Mar 8, 2019
- Certification date
- Nov 9, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
17 W Grand AveChicago, IL 60654-4844
Phone 312-462-4081 · Fax 312-276-4064
Mailing address
Po Box 734116Chicago, IL 60673-4116
Phone 312-462-4081 · Fax 312-276-4064
Authorized official
Ed Bauer
Partner
3125606151
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