Nissi Corp

NPI #1063680064 in Rockford, Illinois

Provider Information

NPI Number
1063680064
Entity Type
Organization
Organization Name
Nissi Corp
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 13, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
5823 E RIVERSIDE BLVD
ZIP Code
61114-4963
Phone
(815) 654-1900

Authorized Official

Name
MR. LAWRENCE EDWARD BUCKMAN III, CERTIFIED PEDORTHIST
Title
PRESIDENT
Phone
(815) 654-1900

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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