Healthcare Provider Details

I. General information

NPI: 1356245260
Provider Name (Legal Business Name): RMD MED SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 N WASHTENAW AVE APT 3
CHICAGO IL
60659-3945
US

IV. Provider business mailing address

6022 N WASHTENAW AVE APT 3
CHICAGO IL
60659-3945
US

V. Phone/Fax

Practice location:
  • Phone: 773-587-4510
  • Fax:
Mailing address:
  • Phone: 773-587-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ABDUL AZIZ MOHAMMED
Title or Position: OWNER
Credential:
Phone: 773-587-4510