MEDICARE: NORTHERN OHIO MEDICAL SPECIALISTS, LLC

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	:	1174166037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 8372
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60197-8372
Country	:	US
Telephone Number	:	419-609-1112
Fax Number	:	419-609-1123

Provider Business Practice Location Address
First Line	:	6551 WILSON MILLS RD STE 104
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-3425
Country	:	US
Telephone Number	:	440-442-3113
Fax Number	:	440-442-5137

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD SCHNEIDER
Credential	:
Telephone Number	:	419-451-3869

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	02/16/2026

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