Organization · Type 2 NPI
Jene's Ltd Boutique
Durable Medical Equipment & Medical Supplies · Peoria, IL
Practice location
4700 N. University, Spc 93 Metro Center
Peoria, IL 61614-5849
Fax (309) 694-7748
Mailing address
P.o. Box 2545, 312 Illini Drive
East Peoria, IL 61611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | C36319 (IL) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1386793438
Jene's Ltd Boutique's National Provider Identifier is 1386793438, issued on Jan 9, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 9, 2009.