Ruby America, INC.
Durable Medical Equipment & Medical Supplies in Gurnee, IL. Organization (NPI-2).
NPI number1760411508
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760411508
- Entity type
- Organization (NPI-2)
- Legal business name
- Ruby America, INC.
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 203000786 | IL | Yes |
Other names
- Lakes Medical Supplies (Doing Business As)
Practice location
3900 Washington StSuite V
Gurnee, IL 60031-5717
Phone 847-623-9529 · Fax 847-623-9530
Mailing address
3900 Washington StSuite V
Gurnee, IL 60031-5717
Phone 847-623-9529 · Fax 847-623-9530
Authorized official
Mohammed V Khan
President
8476239529
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