Healthcare Provider Details

I. General information

NPI: 1689628273
Provider Name (Legal Business Name): BREEZE TECHNOLOGY & ACCESSORIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3029 N BARRINGTON RD
HOFFMAN ESTATES IL
60192-2024
US

IV. Provider business mailing address

660 MCHENRY RD
WHEELING IL
60090-9220
US

V. Phone/Fax

Practice location:
  • Phone: 847-765-4008
  • Fax: 847-765-4007
Mailing address:
  • Phone: 847-765-4008
  • Fax: 847-765-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number203.000792
License Number StateIL

VIII. Authorized Official

Name: MISS WENDI L PHILLIPS
Title or Position: PRESIDENT
Credential:
Phone: 316-209-6402