MEDICARE: AXIOS MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	203000367	IL

General Provider Information

NPI Number	:	1477684132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIOS MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	2003 W FULTON ST STE 509
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2345
Country	:	US
Telephone Number	:	312-738-2330
Fax Number	:	312-738-2395

Provider Business Practice Location Address
First Line	:	2003 W FULTON ST STE 509
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2345
Country	:	US
Telephone Number	:	312-738-2330
Fax Number	:	312-738-2395

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ARISTOTLE KORNAROS
Credential	:
Telephone Number	:	312-738-2330

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	10/31/2024

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