MEDICARE: OAK CREEK MEDICAL SUPPLIES 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	:	1598349623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK CREEK MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	7001 S HOWELL AVE STE 200
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-1413
Country	:	US
Telephone Number	:	414-877-1677
Fax Number	:	414-455-4602

Provider Business Practice Location Address
First Line	:	7001 S HOWELL AVE STE 200
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-1413
Country	:	US
Telephone Number	:	414-877-1677
Fax Number	:	414-455-4602

Authorized Official
Title or Position	:	OWNER
Name	:	MR. OMAR FARAH
Credential	:
Telephone Number	:	414-877-1677

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	05/05/2021

Similar Medicare Providers

1669435475 — MARC W CAMPBELL MD
Practice Location Address:

1415 TIMBER CREEK DR
JASPER, IN
47546-1413

Practice Phone: 812-630-9794
Practice Fax: 812-996-0653

1891104600 — MS. CHERYL H COMBS-WALKER LCSW
Practice Location Address:

1413 ABBOTT CREEK RD
PRESTONSBURG, KY
41653-8930

Practice Phone: 606-791-4460
Practice Fax:

1558373191 — MR. GREGG STEVEN KITZIS L.C.S.W.
Practice Location Address:

1027 HAYES AVE
OAK PARK, IL
60302-1413

Practice Phone: 708-386-2578
Practice Fax:

1457704603 — WHOLEHEALTH THERAPY PARTNERS, INC
Practice Location Address:

715 LAKE ST STE 410
OAK PARK, IL
60301-1413

Practice Phone: 708-209-8987
Practice Fax:

1245748722 — BLACKBIRD BEHAVIORAL HEALTH, PC
Practice Location Address:

715 LAKE ST STE 410
OAK PARK, IL
60301-1413

Practice Phone: 708-209-8987
Practice Fax:

1255942660 — SUZANNE GERVAIS TREZEVANT LCSW
Practice Location Address:

715 LAKE ST STE 417
OAK PARK, IL
60301-1413

Practice Phone: 708-415-4066
Practice Fax:

Directions to “OAK CREEK MEDICAL SUPPLIES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.