MEDICARE: ADVANTAGE 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	332B00000X	Durable Medical Equipment & Medical Supplies		IL

General Provider Information

NPI Number	:	1538141643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	3701 NAMEOKI RD
Second Line	:	SUITE A
City	:	GRANITE CITY
State	:	IL
Zip	:	62040-3711
Country	:	US
Telephone Number	:	618-452-4013
Fax Number	:	618-452-4726

Provider Business Practice Location Address
First Line	:	3701 NAMEOKI RD
Second Line	:	SUITE A
City	:	GRANITE CITY
State	:	IL
Zip	:	62040-3711
Country	:	US
Telephone Number	:	618-452-4013
Fax Number	:	618-452-4726

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. NICOLE THOMPSON
Credential	:
Telephone Number	:	618-452-4013

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	08/22/2020

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