Healthcare Provider Details

I. General information

NPI: 1518964469
Provider Name (Legal Business Name): BEST AID MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 S MILWAUKEE AVE SUITE 130
WHEELING IL
60090-6373
US

IV. Provider business mailing address

1822 WESTLEIGH DR
GLENVIEW IL
60025-7619
US

V. Phone/Fax

Practice location:
  • Phone: 847-947-7706
  • Fax: 847-947-7474
Mailing address:
  • Phone: 847-947-7706
  • Fax: 847-947-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number203000373
License Number StateIL

VIII. Authorized Official

Name: HELEN SHUSTERMAN
Title or Position: PRESIDENT
Credential:
Phone: 847-947-7706