Active Medical Supply Co.

NPI #1114255957 in Willow Springs, Illinois

Provider Information

NPI Number
1114255957
Entity Type
Organization
Organization Name
Active Medical Supply Co.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 4, 2009
Last Updated
Dec 4, 2009

Practice Location

Address
8434 CORCORAN RD
ZIP Code
60480-1666
Phone
(708) 878-3736

Authorized Official

Name
MRS. KELLY ANNE HENEGHAN
Title
PRESIDENT
Phone
(708) 878-3736

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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