Healthcare Provider Details

I. General information

NPI: 1396678827
Provider Name (Legal Business Name): RN PRIME MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S UNION AVE
CHICAGO IL
60609-1628
US

IV. Provider business mailing address

3500 S UNION AVE
CHICAGO IL
60609-1628
US

V. Phone/Fax

Practice location:
  • Phone: 754-290-2307
  • Fax: 844-670-6009
Mailing address:
  • Phone: 754-290-2307
  • Fax: 844-670-6009

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: DAVID JOHN DAVIDSON
Title or Position: COUNSEL
Credential: ESQ.
Phone: 754-290-2307