Divine Service Group LLC
NPI #1003662248 in West Chicago, Illinois
Provider Information
- NPI Number
- 1003662248
- Entity Type
- Organization
- Organization Name
- Divine Service Group LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 29, 2024
- Last Updated
- Apr 29, 2024
Practice Location
- Address
- 675 SHERMAN ST
- City
- West Chicago
- State
- Illinois
- ZIP Code
- 60185-3343
- Phone
- (630) 379-2686
Authorized Official
- Name
- FELICIA NICOLE GILLS
- Title
- PRESIDENT
- Phone
- (630) 379-2686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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