Healthcare Provider Details

I. General information

NPI: 1710738166
Provider Name (Legal Business Name): CPAP EXPRESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 ALGONQUIN RD STE 640
ROLLING MEADOWS IL
60008-3184
US

IV. Provider business mailing address

402B PARK AVE N
TIFTON GA
31794-4320
US

V. Phone/Fax

Practice location:
  • Phone: 229-520-5709
  • Fax:
Mailing address:
  • Phone: 229-520-5709
  • Fax:

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: JAMES WALL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 229-520-5709