Provider Demographics
NPI:1124346333
Name:GLOBAL LIFE TECHNOLOGIES
Entity type:Organization
Organization Name:GLOBAL LIFE TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SALES AND MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MUROKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-777-6050
Mailing Address - Street 1:7440 SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-4032
Mailing Address - Country:US
Mailing Address - Phone:888-777-6050
Mailing Address - Fax:847-674-7524
Practice Address - Street 1:7440 SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-4032
Practice Address - Country:US
Practice Address - Phone:888-777-6050
Practice Address - Fax:847-674-7524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment