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General NPI Number Information
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NPI Number | 1194530576
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Entity Type | Organization
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Legal Business Name | NORTHSHORE RX MED SUPPLIES & SERVICES LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 10 W PHILLIP RD STE 114
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City | VERNON HILLS
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State | IL
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Zip | 60061-1730
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Country | US
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Telephone | 866-922-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 10 W PHILLIP RD STE 114
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City | VERNON HILLS
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State | IL
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Zip | 60061-1730
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Country | US
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Telephone | 866-922-2011
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. CAMILLA LEROY
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Credential |
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Telephone | 866-922-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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