=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851115869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMERICAN MED SUPPLY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2024
-----------------------------------------------------
Last Update Date | 11/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1800 W HAWTHORNE LN STE P1
-----------------------------------------------------
City | WEST CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60185-1842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-400-2601
-----------------------------------------------------
Fax | 630-621-9107
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1800 W HAWTHORNE LN STE P1
-----------------------------------------------------
City | WEST CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60185-1842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-400-2601
-----------------------------------------------------
Fax | 630-621-9107
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | SALEEM SHAIKH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 630-935-6966
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------