Healthcare Provider Details

I. General information

NPI: 1659561678
Provider Name (Legal Business Name): EXPERT HOME MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40225 N RT 83 SUITE B
ANTIOCH IL
60002
US

IV. Provider business mailing address

40225 N ROUTE 83 SUITE B
ANTIOCH IL
60002
US

V. Phone/Fax

Practice location:
  • Phone: 847-838-8590
  • Fax: 847-838-8591
Mailing address:
  • Phone: 847-838-8590
  • Fax: 847-838-8591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA I ARTEAGA
Title or Position: OWNER
Credential:
Phone: 847-838-8590