Healthcare Provider Details

I. General information

NPI: 1912391251
Provider Name (Legal Business Name): AAMS SUPPLY CHICAGO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 W DEVON AVE
CHICAGO IL
60659-1501
US

IV. Provider business mailing address

2805 W DEVON AVE
CHICAGO IL
60659-1501
US

V. Phone/Fax

Practice location:
  • Phone: 773-764-0184
  • Fax: 773-764-0186
Mailing address:
  • Phone: 773-764-0184
  • Fax: 773-764-0186

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

VIII. Authorized Official

Name: NILAM PATEL
Title or Position: CEO
Credential: L.PED
Phone: 773-764-0184