Innovative Medical Consulting
Durable Medical Equipment & Medical Supplies in Mokena, IL. Organization (NPI-2).
NPI number1164093712
StatusActive
Last updated in NPPESNov 20, 2021
Details
- NPI
- 1164093712
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Medical Consulting
- Organization subpart
- No
- Enumeration date
- Jul 6, 2021
- Certification date
- Nov 20, 2021
- Last updated
- Nov 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
19070 Everett Blvd Unit 204Mokena, IL 60448-2073
Phone 708-390-3362
Mailing address
19070 Everett Blvd Unit 204Mokena, IL 60448-2073
Phone 708-390-3362
Authorized official
James D Judge
Oner
7084781706
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All 7 Durable Medical Equipment & Medical Supplies providers in Mokena · All 737 providers in Mokena
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