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Mackmalter Enterprises Inc
Oxygen Equipment & Supplies (DME) in Benton, Illinois
NPI 1487670584

Mackmalter Enterprises Inc is a Oxygen Equipment & Supplies (DME) based in Benton, IL and is specialized in Oxygen Equipment & Supplies. Mackmalter Enterprises Inc practices in Benton, IL. The NPI Number for Mackmalter Enterprises Inc is 1487670584 and holds a License No. (Illinois).

The current practice location address for Mackmalter Enterprises Inc is 205 Bailey Ln, Benton, IL and can be reached out via phone at 618-438-0309 and via fax at 618-438-4406.

Location: 205 Bailey Ln, Benton, IL, 62812-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487670584
Provider Name
Mackmalter Enterprises Inc
Credential
Provider Entity Type
Organization
Address
205 Bailey Ln, Benton, IL, 62812-1921
Phone Number
618-438-0309
Fax Number
618-438-4406
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
446436 01 IL HEALTHLINK
02827016 01 IL BCBS
072787 01 IL HEALTH ALLIANCE
200418050A 05 IN
institution
Provider Business Practice Location Address Details
Address
205 Bailey Ln
City
Benton
State
Illinois
Zip
62812-1921
Phone Number
618-438-0309
Fax Number
618-438-4406
person
Provider Business Mailing Address Details
Address
205 Bailey Ln
City
Benton
State
Illinois
Zip
62812-1921
Phone Number
618-438-0309
Fax Number
618-438-4406
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
203000212 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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