Provider Demographics
NPI:1144357831
Name:DAKL MANAGEMENT SOLUTIONS LLC
Entity type:Organization
Organization Name:DAKL MANAGEMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DARNELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-233-4110
Mailing Address - Street 1:7552 W 99TH PL
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-2404
Mailing Address - Country:US
Mailing Address - Phone:708-233-4110
Mailing Address - Fax:708-233-4171
Practice Address - Street 1:7552 W 99TH PL
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-2404
Practice Address - Country:US
Practice Address - Phone:708-233-4110
Practice Address - Fax:708-233-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL7480470001Medicare NSC
IL=========001Medicaid