Healthcare Provider Details

I. General information

NPI: 1275671190
Provider Name (Legal Business Name): HRC MEDICAL SUPPLY, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 W BELMONT AVE
CHICAGO IL
60641-4129
US

IV. Provider business mailing address

5544 W BELMONT AVE
CHICAGO IL
60641-4129
US

V. Phone/Fax

Practice location:
  • Phone: 773-685-7816
  • Fax: 773-685-7829
Mailing address:
  • Phone: 773-685-7816
  • Fax: 773-685-7829

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: RAMON J. CASTRO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 773-685-7816