Provider Demographics
NPI:1982055570
Name:ECHOWSWORLD
Entity Type:Organization
Organization Name:ECHOWSWORLD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSEKEEPING
Authorized Official - Prefix:
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-306-5644
Mailing Address - Street 1:4315 S HARLEM AVE
Mailing Address - Street 2:8
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-4232
Mailing Address - Country:US
Mailing Address - Phone:773-306-5644
Mailing Address - Fax:
Practice Address - Street 1:4315 S HARLEM AVE
Practice Address - Street 2:8
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-4232
Practice Address - Country:US
Practice Address - Phone:773-306-5644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes331L00000XSuppliersBlood Bank