Healthcare Provider Details

I. General information

NPI: 1073733598
Provider Name (Legal Business Name): APMS MEDICAL, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18221 TORRENCE AVE SUITE 1C
LANSING IL
60438-2870
US

IV. Provider business mailing address

18221 TORRENCE AVE SUITE 1C
LANSING IL
60438-2870
US

V. Phone/Fax

Practice location:
  • Phone: 708-895-9450
  • Fax: 708-895-9455
Mailing address:
  • Phone: 708-895-9450
  • Fax: 708-895-9455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER J POLLACHEK
Title or Position: PRESIDENT
Credential:
Phone: 708-895-9450