| Rss Wilmette LLC | |
|
124 1/2 Skokie Blvd Wilmette IL 60091-3050 | |
| (817) 440-6060 | |
| (469) 466-6086 |
| Full Name | Rss Wilmette LLC |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 124 1/2 Skokie Blvd, Wilmette, Illinois |
| Authorized Official Name and Position | Latisha Peoples (ONBOARDING AND CREDENTIALING) |
| Authorized Official Contact | 8174406060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rss Wilmette LLC 1050 Texan Trl Ste 300 Grapevine TX 76051-3759 Ph: (817) 440-6060 | Rss Wilmette LLC 124 1/2 Skokie Blvd Wilmette IL 60091-3050 Ph: (817) 440-6060 |
| NPI Number | 1174014161 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174014161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Primary |
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