Organization · Type 2 NPI
College Avenue Dental Sleep Appliances Ltd.
Durable Medical Equipment & Medical Supplies · Jacksonville, IL
NPI number
1962829366
Active
Practice location
505 W College Ave
Jacksonville, IL 62650-2405
Fax (217) 383-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 019019857 (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.
2 other providers at this address
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About NPI 1962829366
College Avenue Dental Sleep Appliances Ltd.'s National Provider Identifier is 1962829366, issued on Mar 24, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Jacksonville, IL. The record was last updated on Apr 22, 2014.