Provida Medical Supply, Inc. is a Oxygen Equipment & Supplies (DME) based in Libertyville, IL and is specialized in Oxygen Equipment & Supplies. Provida Medical Supply, Inc. practices in Libertyville, IL. The NPI Number for Provida Medical Supply, Inc. is 1023395381 and holds a License No. 203001360 (Illinois).
The current practice location address for Provida Medical Supply, Inc. is 1117 S Milwaukee Ave, Libertyville, IL and can be reached out via phone at 847-918-8085 and via fax at 847-573-0223.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203001360 | 01 | IL | LICENSE |
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