Healthcare Provider Details

I. General information

NPI: 1700779022
Provider Name (Legal Business Name): MARLOW MED SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 E CALHOUN ST
WOODSTOCK IL
60098-4260
US

IV. Provider business mailing address

639 E CALHOUN ST
WOODSTOCK IL
60098-4260
US

V. Phone/Fax

Practice location:
  • Phone: 872-702-3523
  • Fax:
Mailing address:
  • Phone: 872-702-3523
  • 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: HEATHER MARLOW
Title or Position: MANAGER
Credential:
Phone: 667-284-7662