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Edlucy Inc
Oxygen Equipment & Supplies (DME) in Fairfield, Illinois
NPI 1912123274

Edlucy Inc is a Oxygen Equipment & Supplies (DME) based in Fairfield, IL and is specialized in Oxygen Equipment & Supplies. Edlucy Inc practices in Fairfield, IL. The NPI Number for Edlucy Inc is 1912123274 and holds a License No. 054016079 (Illinois).

The current practice location address for Edlucy Inc is 1010 W Main St, Fairfield, IL and can be reached out via phone at 618-842-2531 and via fax at 618-842-4036.

Location: 1010 W Main St, Fairfield, IL, 62837-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912123274
Provider Name
Edlucy Inc
Credential
Provider Entity Type
Organization
Address
1010 W Main St, Fairfield, IL, 62837-2309
Phone Number
618-842-2531
Fax Number
618-842-4036
Provider Enumeration Date
04/17/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9632014 01 IL BCBSIL
institution
Provider Business Practice Location Address Details
Address
1010 W Main St
City
Fairfield
State
Illinois
Zip
62837-2309
Phone Number
618-842-2531
Fax Number
618-842-4036
person
Provider Business Mailing Address Details
Address
1010 W Main St
City
Fairfield
State
Illinois
Zip
62837-2309
Phone Number
618-842-2531
Fax Number
618-842-4036
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054016079 (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
Customized Equipment
Taxonomy
332BC3200X
License No.
054016079 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
054016079 (Illinois)
Definition
Definition to come...
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