Amg Illinois Ltd

NPI #1467696401 in Fox Lake, Illinois

Provider Information

NPI Number
1467696401
Entity Type
Organization
Organization Name
Amg Illinois Ltd
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 21, 2009
Last Updated
Aug 31, 2009

Practice Location

Address
81 E GRAND AVE
ZIP Code
60020-1557
Phone
(847) 587-0115

Authorized Official

Name
JEFFREY BAILET, MD
Title
PRESIDENT
Phone
(414) 647-6322

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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