Northern Illinois Home Medical Supply

NPI #1962497735 in Dixon, Illinois

Provider Information

NPI Number
1962497735
Entity Type
Organization
Organization Name
Northern Illinois Home Medical Supply
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 16, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1309 N GALENA AVE
City
Dixon
ZIP Code
61021-1060
Phone
(815) 285-5857

Authorized Official

Name
MR. ROBERT LESAGE
Title
PRESIDENT
Phone
(815) 284-8200

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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