Healthcare Provider Details

I. General information

NPI: 1750498366
Provider Name (Legal Business Name): BIOCONCEPTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FAIRLANE DR
JOLIET IL
60435-5484
US

IV. Provider business mailing address

100 TOWER DR
BURR RIDGE IL
60527-5777
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-7901
  • Fax: 815-725-7560
Mailing address:
  • Phone: 630-986-0007
  • Fax: 630-986-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. THOMAS GAVIN
Title or Position: PRESIDENT
Credential:
Phone: 630-986-0007