Damon Lake Media
Damon Lake Media is a Durable Medical Equipment & Medical Supplies in Chicago, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1624 W Division St Apt 208Chicago, IL 60622-3908
Phone: (312) 391-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1740092477 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Lustig — Owner · (312) 391-9206 |
| NPI enumerated | January 21, 2025 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 20, 2025 |
| Mailing address | 516 N Ogden Ave # 195, Chicago, IL 60642-6421 |
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