MEDICARE: OMEGA GLOBAL MEDICAL SUPPLY 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	:	1689443111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMEGA GLOBAL MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	3204 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4728
Country	:	US
Telephone Number	:	512-738-6413
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4728
Country	:	US
Telephone Number	:	512-738-6413
Fax Number	:	210-435-9265

Authorized Official
Title or Position	:	CEO
Name	:	SYED RAHAT
Credential	:
Telephone Number	:	512-738-6413

Provider Enumeration Date	:	12/26/2023
Last Update Date	:	08/22/2024

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Directions to “OMEGA GLOBAL MEDICAL SUPPLY LLC ” Practice Location

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