OrganizationActive
Medical Service and Support LLC Mbfs
NPI 1851454664 · Supports Brokerage Agency · Oak Park, IL
Provider details
- NPI number
- 1851454664
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rengaraju Ganesan, MD(773) 746-6050
- License
- 01883194 (IL)
Specialties & taxonomies
Agencies
Practice location
500 Linden Avenue
Oak Park, IL 60302-1659
Phone: (773) 746-6050
Approximate (ZIP-level) locationGet directions
Mailing address
500 Linden Ave
Oak Park, IL 60302-1659
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.