MEDICARE: ALLOMED, INC

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

General Provider Information

NPI Number	:	1023559457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLOMED, INC

Provider Business Mailing Address
First Line	:	4623 75TH ST
Second Line	:	STE 279
City	:	KENOSHA
State	:	WI
Zip	:	53142-3707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4359 S HOWELL AVE
Second Line	:	STE 202
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-5056
Country	:	US
Telephone Number	:	262-287-9880
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GUSTAVO URBINA
Credential	:
Telephone Number	:	773-495-3796

Provider Enumeration Date	:	03/18/2017
Last Update Date	:	03/18/2017

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Directions to “ALLOMED, INC ” Practice Location

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