MEDICARE: STEVE GULICK 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245234970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVE GULICK INC

Provider Business Mailing Address
First Line	:	PO BOX 1307
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61834-1307
Country	:	US
Telephone Number	:	217-442-0121
Fax Number	:	217-442-0022

Provider Business Practice Location Address
First Line	:	912 N VERMILION ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-3056
Country	:	US
Telephone Number	:	217-442-0121
Fax Number	:	217-442-0022

Authorized Official
Title or Position	:	REIMBURSEMENT MANAGER
Name	:	MRS. BECKY LYNN GARRISON
Credential	:
Telephone Number	:	217-442-0121

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	03/27/2008

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Directions to “STEVE GULICK INC ” Practice Location

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