MEDICARE: HOWARD MEDICAL COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		IL

General Provider Information

NPI Number	:	1013959733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD MEDICAL COMPANY

Provider Business Mailing Address
First Line	:	1690 N ELSTON AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1530
Country	:	US
Telephone Number	:	773-278-1440
Fax Number	:	773-278-9513

Provider Business Practice Location Address
First Line	:	1690 N ELSTON AVENUE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1530
Country	:	US
Telephone Number	:	773-278-1440
Fax Number	:	773-278-9513

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROSS LITTON
Credential	:
Telephone Number	:	773-278-1440

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	08/22/2020

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