MEDICARE: APK MEDICAL SUPPLY PROVIDER

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	:	1205043676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APK MEDICAL SUPPLY PROVIDER

Provider Business Mailing Address
First Line	:	251 N MILWAUKEE
Second Line	:	SUITE 1004-1006
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089
Country	:	US
Telephone Number	:	847-520-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 N MILWAUKEE
Second Line	:	SUITE 1004-1006
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089
Country	:	US
Telephone Number	:	847-520-8240
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. KAMRAN ANIS
Credential	:
Telephone Number	:	847-520-8240

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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