Individual provider · NPI-1

Emmanuel Otuwa

Durable Medical Equipment & Medical Supplies · Olympia Fields, IL

NPI number1881911907
StatusActive
Last updated in NPPESApr 29, 2010

Details

NPI
1881911907
Entity type
Individual (NPI-1)
Name
Mr. Emmanuel Otuwa
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 29, 2010
Last updated
Apr 29, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
343900000X Non-emergency Medical Transport (VAN)––
347C00000X Private Vehicle––

Practice location

504 Wysteria Dr
Olympia Fields, IL 60461-1228

Phone 708-983-9088

Mailing address

504 Wysteria Dr
Olympia Fields, IL 60461-1228

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