Advanced Medical Supply Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Chicago, IL
NPI 1497794564 · NPPES record last updated Feb 4, 2008
Key facts
- NPI
- 1497794564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED MEDICAL SUPPLY INC
- Practice address
- 3322 N Milwaukee Ave
Chicago, IL 60641-4001 - Phone
- (773) 205-6993
- Fax
- (773) 205-6994
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Oleg Kacherov
- Title
- President
- Phone
- (773) 205-6993
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advance Medical Supply Inc |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Cru… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054068 | IL | DME Supplier - Medical Supply Company |
5890907695 | Practice locations: Chicago, IL |
National Provider Directory
- Tax ID family
- Advanced Medical Supply Inc
Locations
3322 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 205-6993
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Yes |
Addresses
Primary practice location
3322 N Milwaukee Ave
Chicago, IL 60641-4001
Mailing address
3322 N Milwaukee Ave
Chicago, IL 60641-4001
Phone (773) 205-6993
Other providers in Chicago, IL
- Advanced Long Term Care Aco PLLC
- Advanced Medical Associates, SC
- Advanced Medical Care Chicago LLC
- Advanced Medical Clinic
- Advanced Medical Group
- Advanced Medical Team Home Health Care, Inc.
- Advanced Metrorehab Inc.
- Advanced Neuro Pain Clinic Inc
- Advanced Neurological Diagnostics, LLC
- Advanced Neurological Testing Services LLC
All providers in Chicago, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.