Healthcare Provider Details

I. General information

NPI: 1528803202
Provider Name (Legal Business Name): JAMA MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 E DEMPSTER ST STE 207
DES PLAINES IL
60016-5340
US

IV. Provider business mailing address

2434 E DEMPSTER ST STE 207
DES PLAINES IL
60016-5340
US

V. Phone/Fax

Practice location:
  • Phone: 224-580-2168
  • Fax: 224-443-4392
Mailing address:
  • Phone: 224-580-2168
  • Fax: 224-443-4392

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: AHMED HAJI
Title or Position: OWNER
Credential:
Phone: 312-437-4040