Basic Information
| Provider Information | |||||||||
| NPI: | 1619519519 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | APERION CARE OLNEY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4655 W CHASE AVE | ||||||||
| Address2: | |||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607121605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472623800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 900 E SCOTT ST | ||||||||
| Address2: | |||||||||
| City: | OLNEY | ||||||||
| State: | IL | ||||||||
| PostalCode: | 624502576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6183951000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2019 | ||||||||
| LastUpdateDate: | 10/11/2019 | ||||||||
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| AuthorizedOfficialLastName: | MEYSTEL | ||||||||
| AuthorizedOfficialFirstName: | YOSEF | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8472623800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.