PROVIDA MEDICAL SUPPLY, INC.

LIBERTYVILLE, IL
NPI1023395381
Entity TypeOrganization
Authorized ContactLUDA TROYAK
President
847-918-8085
Organization Subpart ?No
Primary Taxonomy332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
(Licence: IL  203001360)
Enumeration Date2011-11-14
Last Update Date2012-04-05
Business Address
PROVIDA MEDICAL SUPPLY, INC.
1117 S MILWAUKEE AVE SUITE D 5
LIBERTYVILLE, IL 60048-5257
Phone number: 847-918-8085
Mailing Address
PROVIDA MEDICAL SUPPLY, INC.
1117 S MILWAUKEE AVE D-5
LIBERTYVILLE, IL 60048-5257
Phone number: 847-918-8085