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Patrick Niebrugge Od
Durable Medical Equipment & Medical Supplies in Casey, Illinois
NPI 1962696617

Patrick Niebrugge Od is a Durable Medical Equipment & Medical Supplies based in Casey, IL. Patrick Niebrugge Od practices in Casey, IL. The NPI Number for Patrick Niebrugge Od is 1962696617 and holds a License No. 0706010001 (Illinois).

The current practice location address for Patrick Niebrugge Od is 1279 E Us Hwy 40, Casey, IL and can be reached out via phone at 217-932-2310 and via fax at 217-932-4674.

Location: 1279 E Us Hwy 40, Casey, IL, 62420-0528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962696617
Provider Name
Patrick Niebrugge Od
Credential
Provider Entity Type
Organization
Address
1279 E Us Hwy 40, Casey, IL, 62420-0528
Phone Number
217-932-2310
Fax Number
217-932-4674
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046007315 05 IL
1831228600 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
1279 E Us Hwy 40
City
Casey
State
Illinois
Zip
62420-0528
Phone Number
217-932-2310
Fax Number
217-932-4674
person
Provider Business Mailing Address Details
Address
1279 E Us Hwy 40
City
Casey
State
Illinois
Zip
62420-0528
Phone Number
217-932-2310
Fax Number
217-932-4674
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0706010001 (Indiana)
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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