NPI 1851454664

Medical Service and Support LLC Mbfs

Organisation Supports Brokerage Agency Oak Park, IL

Practice location

Address: 500 Linden Avenue, Oak Park, IL 60302-1659
Phone: (773) 746-6050
Mailing address: 500 Linden Ave, Oak Park, IL 60302-1659

Authorised official

Name: Rengaraju Ganesan
Title: MD
Phone: (773) 746-6050

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 01883194 (IL)

Other Supports Brokerage providers in Illinois →

Registry record

NPI: 1851454664
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.