Advanced Health Services, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Orland Park, IL
NPI 1922050434 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1922050434
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 203.000543 (IL)
- Legal business name
- ADVANCED HEALTH SERVICES, INC.
- Practice address
- 10646 165TH St.
Orland Park, IL 60467-5653 - Phone
- (708) 364-9606
- Fax
- (708) 364-9607
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cheryl Michalow, RRT
- Title
- Clinical Director
- Phone
- (708) 372-3154
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 2
Practitioners 1
-
Andrew B Mouton, PHD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Health Services Inc |
Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029579 | IL | DME Supplier - Medical Supply Company With Respiratory Therapist |
4284842030 | Practice locations: Orland Park, IL |
National Provider Directory
- Tax ID family
- Advanced Health Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000543 | IL | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000641 | IL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000586 | IL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000585 | IL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000642 | IL |
Addresses
Primary practice location
10646 165TH St.
Orland Park, IL 60467-5653
Mailing address
10646 165TH St.
Orland Park, IL 60467-5653
Phone (708) 364-9606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633924 | Other | IL | BCBS IL |
Other names
- Advanced Health
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All providers in Orland Park, 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 Jun 24, 2009. 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.