Bloomington Medical Distribution LLC
Durable Medical Equipment & Medical Supplies in Bloomington, IL. Organization (NPI-2).
NPI number1669918009
StatusActive
Last updated in NPPESMay 6, 2019
Details
- NPI
- 1669918009
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloomington Medical Distribution LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2017
- Last updated
- May 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1111 Trinity LnSuite 111
Bloomington, IL 61704-8111
Phone 309-306-7574
Mailing address
2045 W Grand AveSte B #97551
Chicago, IL 60612
Phone 309-306-7574
Authorized official
Melissa Redondo
General Counsel
3093067574
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All 22 Durable Medical Equipment & Medical Supplies providers in Bloomington · All 2,449 providers in Bloomington
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