Healthcare Provider Details

I. General information

NPI: 1003729930
Provider Name (Legal Business Name): EASY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LANGFORD DR
BOLINGBROOK IL
60440-1214
US

IV. Provider business mailing address

405 LANGFORD DR
BOLINGBROOK IL
60440-1214
US

V. Phone/Fax

Practice location:
  • Phone: 602-580-7863
  • Fax: 480-680-5464
Mailing address:
  • Phone: 602-580-7863
  • Fax: 480-680-5464

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. SHAHID AZIZ
Title or Position: OWNER
Credential:
Phone: 602-580-7863