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Contact Information

WILLOW MEDICAL DISTRIBUTION LLC
19801 GOVERNORS HWY STE 160
FLOSSMOOR, IL60422-4363
 Phone: 844-407-7544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WILLOW MEDICAL DISTRIBUTION LLC

NPI Number 1992204259
LBN Legal business name WILLOW MEDICAL DISTRIBUTION LLC
Authorized official JEFF BLAIR - (AUTHORIZED REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2018
Last updated 08/15/2022 - About 4 years ago
Identifiers
IL License # 203.001976
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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