Healthcare Provider Details

I. General information

NPI: 1144149329
Provider Name (Legal Business Name): ICON MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909-2137 S MAIN STREET MORTON
MORTON IL
61550
US

IV. Provider business mailing address

1909-2137 S MAIN STREET MORTON
MORTON IL
61550
US

V. Phone/Fax

Practice location:
  • Phone: 888-446-4118
  • Fax: 888-910-0640
Mailing address:
  • Phone: 888-446-4118
  • Fax: 888-910-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ABID MAJEED
Title or Position: MANAGER
Credential:
Phone: 888-446-4118