MEDICARE: I GLOBAL US

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	:	1457807380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I GLOBAL US

Provider Business Mailing Address
First Line	:	148 E MARKET ST STE 707
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3209
Country	:	US
Telephone Number	:	317-653-5859
Fax Number	:	317-438-5402

Provider Business Practice Location Address
First Line	:	8631 LEPART CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1169
Country	:	US
Telephone Number	:	317-653-5859
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. CLARENCE LYLES
Credential	:
Telephone Number	:	317-653-5859

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

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Directions to “I GLOBAL US ” Practice Location

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