MEDICARE: ABLE GARAGE DOORS INC

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
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1881339976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE GARAGE DOORS INC

Provider Business Mailing Address
First Line	:	8705 W 95TH ST
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-1732
Country	:	US
Telephone Number	:	708-579-0844
Fax Number	:

Provider Business Practice Location Address
First Line	:	8705 W 95TH ST
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-1732
Country	:	US
Telephone Number	:	708-579-0844
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KRISTIE PUCKETT
Credential	:
Telephone Number	:	708-579-0844

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	05/03/2022

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Directions to “ABLE GARAGE DOORS INC ” Practice Location

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