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NPI Code Detail

MEDICARE: TBX GROUP OF INDUSTRIES LLC

MEDICARE: TBX GROUP OF INDUSTRIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1144824483
Entity Type Code : Organization
Provider Name (Legal Business Name) : TBX GROUP OF INDUSTRIES LLC
Provider Business Mailing Address
First Line : 1303 W ALGONQUIN RD
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-3575
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1303 W ALGONQUIN RD
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-3575
Country : US
Telephone Number : 312-722-6940
Fax Number : 888-502-0521
Authorized Official
Title or Position : OWNER
Name : ABHISHEK GULATI
Credential :
Telephone Number : 312-752-7226
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/09/2022

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Directions to “TBX GROUP OF INDUSTRIES LLC ” Practice Location

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