Healthcare Provider Details

I. General information

NPI: 1851243919
Provider Name (Legal Business Name): PRIME CHOICE MEDICAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6326 N CICERO AVE STE 104
CHICAGO IL
60646-4418
US

IV. Provider business mailing address

6326 N CICERO AVE STE 104
CHICAGO IL
60646-4418
US

V. Phone/Fax

Practice location:
  • Phone: 773-551-8065
  • Fax: 224-335-7708
Mailing address:
  • Phone: 773-551-8065
  • Fax: 224-335-7708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ANASTASIOU
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 773-551-8065