MEDICARE: ADVOCO MEDICAL 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	332BC3200X	Customized Equipment (DME)		IL

General Provider Information

NPI Number	:	1417150947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCO MEDICAL INC

Provider Business Mailing Address
First Line	:	900 PYOTT RD
Second Line	:	SUITE 106
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8716
Country	:	US
Telephone Number	:	815-341-0182
Fax Number	:	815-477-1719

Provider Business Practice Location Address
First Line	:	900 PYOTT RD
Second Line	:	SUITE 106
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8716
Country	:	US
Telephone Number	:	815-341-0182
Fax Number	:	815-477-1719

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	MR. BRIAN A LESZKIEWICZ
Credential	:
Telephone Number	:	815-341-0182

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/21/2022

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