Healthcare Provider Details
I. General information
NPI: 1619895760
Provider Name (Legal Business Name): UBM. INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 SOMERSET AVE
DUNDEE IL
60118-1759
US
IV. Provider business mailing address
611 SOMERSET AVE
DUNDEE IL
60118-1759
US
V. Phone/Fax
- Phone: 820-465-6295
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MISHMA
MALIK
Title or Position: CEO
Credential:
Phone: 182-046-5629