Healthcare Provider Details

I. General information

NPI: 1831554534
Provider Name (Legal Business Name): ALDEN TRAILS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 12/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 E ARMY TRAIL RD
BLOOMINGDALE IL
60108-2135
US

IV. Provider business mailing address

273 E ARMY TRAIL RD
BLOOMINGDALE IL
60108-2135
US

V. Phone/Fax

Practice location:
  • Phone: 630-671-1990
  • Fax:
Mailing address:
  • Phone: 630-671-1990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. FLOYD A SCHLOSSBERG
Title or Position: PRESIDENT
Credential:
Phone: 773-286-3883