Mdm Advanced Ancillary Services, LLC
NPI #1336267855 in Mokena, Illinois
Provider Information
- NPI Number
- 1336267855
- Entity Type
- Organization
- Organization Name
- Mdm Advanced Ancillary Services, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JON KNIPPER
- Title
- CHIEF OPERATING OFFICER
- Phone
- (708) 478-6434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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