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ILLINOIS STATE UNIVERSITY

Medical Equipment Supplier Yellow Pages

Normal, Illinois

Provider NPI: 1952460388

Organization Information:
Organization Name:  ILLINOIS STATE UNIVERSITY


Practice Location:
201 N. UNIVERSITY ST  NORMAL, IL 61790 US
Tel: 309-438-8713  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
IL054017028

Other Provider Identifiers:

IssuerNumberStateType
PK202123701
1999303700IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS IL - Page 1



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