Provider Demographics
NPI:1205082757
Name:MIDWEST DRESSING SUPPLY CORP
Entity type:Organization
Organization Name:MIDWEST DRESSING SUPPLY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAMIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DMP
Authorized Official - Phone:630-896-5600
Mailing Address - Street 1:1300 N HIGHLAND AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1470
Mailing Address - Country:US
Mailing Address - Phone:630-896-5600
Mailing Address - Fax:630-896-5655
Practice Address - Street 1:1300 N HIGHLAND AVE STE 7
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1470
Practice Address - Country:US
Practice Address - Phone:630-896-5600
Practice Address - Fax:630-896-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies