Lamont Applewhite

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Dolton, IL

NPI 1346899705 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1346899705
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
14225 Kimbark Ave
Dolton, IL 60419-1307
Phone
(312) 890-6231
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

14225 Kimbark Ave
Dolton, IL 60419-1307

Mailing address

14225 Kimbark Ave
Dolton, IL 60419-1307
Phone (312) 890-6231

Other providers in Dolton, IL

All providers in Dolton, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.