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NPI Code Detail

MEDICARE: STATUS POST SURGICAL SERVICES INC.

MEDICARE: STATUS POST SURGICAL SERVICES 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
1171WH0202XHome Modifications Contractor

General Provider Information

NPI Number : 1407075831
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATUS POST SURGICAL SERVICES INC.
Provider Business Mailing Address
First Line : 635 CHICAGO AVE
Second Line : SUITE 203
City : EVANSTON
State : IL
Zip : 60202-2365
Country : US
Telephone Number : 312-402-2825
Fax Number :
Provider Business Practice Location Address
First Line : 635 CHICAGO AVE
Second Line : SUITE 203
City : EVANSTON
State : IL
Zip : 60202-2365
Country : US
Telephone Number : 312-402-2825
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. NANCY L. WERTHEIMER
Credential :
Telephone Number : 312-402-2825
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “STATUS POST SURGICAL SERVICES INC. ” Practice Location

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