Provider Demographics
NPI:1275820268
Name:THE SLING CLOZET LLC
Entity type:Organization
Organization Name:THE SLING CLOZET LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:YLISELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-945-7611
Mailing Address - Street 1:13837 S SPLIT RAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8163
Mailing Address - Country:US
Mailing Address - Phone:708-945-7611
Mailing Address - Fax:708-433-5328
Practice Address - Street 1:13837 S SPLIT RAIL DR
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-8163
Practice Address - Country:US
Practice Address - Phone:708-945-7611
Practice Address - Fax:708-433-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies