Healthcare Provider Details

I. General information

NPI: 1588336812
Provider Name (Legal Business Name): NU COMFORT MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 VOLLMER RD
FLOSSMOOR IL
60422-2003
US

IV. Provider business mailing address

3325 VOLLMER RD
FLOSSMOOR IL
60422-2003
US

V. Phone/Fax

Practice location:
  • Phone: 708-299-0591
  • Fax: 708-833-8446
Mailing address:
  • Phone: 708-299-0591
  • Fax: 708-833-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DOREATHA BOOKER
Title or Position: PRESIDENT
Credential:
Phone: 708-299-0591