Provider Demographics
NPI:1679649438
Name:ANNE & GYULA, INC
Entity Type:Organization
Organization Name:ANNE & GYULA, INC
Other - Org Name:MARY DEL CORSETIERES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARNISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-923-0075
Mailing Address - Street 1:12221 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1431
Mailing Address - Country:US
Mailing Address - Phone:708-923-0075
Mailing Address - Fax:708-923-6045
Practice Address - Street 1:12221 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1431
Practice Address - Country:US
Practice Address - Phone:708-923-0075
Practice Address - Fax:708-923-6045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0257950003Medicare ID - Type Unspecified