Provider Demographics
NPI:1003242736
Name:CORE MEDICAL, LLC
Entity Type:Organization
Organization Name:CORE MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-542-2721
Mailing Address - Street 1:1161 ARDMORE DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-0302
Mailing Address - Country:US
Mailing Address - Phone:630-542-2421
Mailing Address - Fax:331-333-1120
Practice Address - Street 1:1161 ARDMORE DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-0302
Practice Address - Country:US
Practice Address - Phone:630-542-2421
Practice Address - Fax:331-333-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies