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Leonard R. Jubert
Durable Medical Equipment & Medical Supplies in Chicago, Illinois
NPI 1932387370

Leonard R. Jubert is a Durable Medical Equipment & Medical Supplies based in Chicago, IL. Leonard R. Jubert practices in Chicago, IL. The NPI Number for Leonard R. Jubert is 1932387370 and holds a License No. (Illinois).

The current practice location address for Leonard R. Jubert is 8054 S Western Ave, Chicago, IL and can be reached out via phone at 773-776-9400 and via fax at 773-776-9644.

Location: 8054 S Western Ave, Chicago, IL, 60620-5936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932387370
Provider Name
Leonard R. Jubert
Credential
Provider Entity Type
Organization
Address
8054 S Western Ave, Chicago, IL, 60620-5936
Phone Number
773-776-9400
Fax Number
773-776-9644
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60001709 01 IL BLUE CROSS BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
8054 S Western Ave
City
Chicago
State
Illinois
Zip
60620-5936
Phone Number
773-776-9400
Fax Number
773-776-9644
person
Provider Business Mailing Address Details
Address
8054 S Western Ave
City
Chicago
State
Illinois
Zip
60620-5936
Phone Number
773-776-9400
Fax Number
773-776-9644
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(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.
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