Healthcare Provider Details

I. General information

NPI: 1992832075
Provider Name (Legal Business Name): XCEL MED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 E DEVON AVE SUITE 300 SOUTH
DES PLAINES IL
60018-4549
US

IV. Provider business mailing address

2400 E DEVON AVE SUITE 300 SOUTH
DES PLAINES IL
60018-4549
US

V. Phone/Fax

Practice location:
  • Phone: 847-864-4901
  • Fax: 847-450-1666
Mailing address:
  • Phone: 847-864-4901
  • Fax: 847-450-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ELLY LATINIK
Title or Position: PRESIDENT
Credential:
Phone: 847-864-4901