Provider Demographics
NPI:1235843020
Name:FORCE AND MILES MEDICAL LLC
Entity Type:Organization
Organization Name:FORCE AND MILES MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:708-368-4821
Mailing Address - Street 1:376 MARIGOLD CIR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2875
Mailing Address - Country:US
Mailing Address - Phone:708-368-4821
Mailing Address - Fax:708-248-5139
Practice Address - Street 1:376 MARIGOLD CIR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2875
Practice Address - Country:US
Practice Address - Phone:708-368-4821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies