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Contact Information

DIABETIC SUPPLY CENTER
6506 CERMAK RD
BERWYN, IL60402-2323
 Phone: 616-835-3304
 Fax: 312-962-5724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DIABETIC SUPPLY CENTER

NPI # 1497007595
LBN Legal business name DIABETIC SUPPLY CENTER
Authorized official DALLAS POWERS - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2012
Last updated 10/12/2012 - About 14 years ago
Identifiers
IL License # 212.000175
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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