PROVIDA MEDICAL SUPPLY, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Libertyville, IL. PROVIDA MEDICAL SUPPLY, INC. NPI is 1023395381. The provider is registered as an organization entity type.
The provider's business location address is:
1117 S MILWAUKEE AVE
SUITE D 5
LIBERTYVILLE, IL
ZIP 60048-257
Phone: (847) 918-8085
Fax: (847) 573-0223
The provider's authorized official is Luda Troyak .
The authorized official title is President and has the following contact phone number (847) 918-8085.
The enumeration date for this NPI number is 11/14/2011 and was last updated on 4/5/2012.