City Wide Village Mattress
City Wide Village Mattress is a Customized Equipment (DME) in Shorewood, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
700 W Jefferson St Route 52Shorewood, IL 60404-7608
Phone: (815) 744-5212
Fax: (815) 744-5620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1538419072 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rickey Brocies — President/Owner · (815) 744-5212 |
| NPI enumerated | September 12, 2012 |
| Last updated in NPPES | September 12, 2012 |
| Mailing address | 700 W Jefferson St, Route 52, Shorewood, IL 60404-7608 |