Advantage Home Medical Equipment, Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Countryside, IL
NPI 1497717235 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1497717235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 203000326 (IL)
- Legal business name
- ADVANTAGE HOME MEDICAL EQUIPMENT, INC
- Practice address
- 911 W 55TH St
Countryside, IL 60525-6628 - Phone
- (708) 579-5790
- Fax
- (708) 579-1384
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael S Zezulak
- Title
- President
- Phone
- (708) 579-5790
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203000326 | IL | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203000326 | IL | Yes |
Addresses
Primary practice location
911 W 55TH St
Countryside, IL 60525-6628
Mailing address
911 W 55TH St
Countryside, IL 60525-6628
Phone (708) 579-5790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203000326 | Other | IL | ILLINOIS HME PROVIDER LIC |
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- Hannah Adams
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- Michele M Alberts
- Allison Marie Alexander
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All providers in Countryside, IL · Oxygen Equipment & Supplies (DME) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.