OrganizationActive
At Medical Equipment LLC
NPI 1760817332 · Customized Equipment (DME) · Waterloo, IL
Provider details
- NPI number
- 1760817332
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kelly Lyerla, Owner(618) 570-8345
Specialties & taxonomies
Suppliers
Practice location
6651 Gladel Dr
Waterloo, IL 62298-5055
Phone: (618) 570-8345
Fax: (618) 473-2035
Approximate (ZIP-level) locationGet directions
Mailing address
6651 Gladel Dr
Waterloo, IL 62298-5055
Registry dates
- Enumerated
- 2013-09-13
- Last updated
- 2013-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.