MEDICARE: SERVICE MEDICAL EQUIPMENT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	203000568	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	215838800	OTHER	IL	DEPT OF LABOR
2	01671321	OTHER	ID	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1003812777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERVICE MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	PO BOX 266
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-0266
Country	:	US
Telephone Number	:	888-848-1900
Fax Number	:	630-324-4242

Provider Business Practice Location Address
First Line	:	5017 CHASE AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4014
Country	:	US
Telephone Number	:	888-848-1900
Fax Number	:	630-789-3375

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BONNIE T SCILINGO
Credential	:
Telephone Number	:	888-848-1900

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	09/26/2014

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Directions to “SERVICE MEDICAL EQUIPMENT, INC ” Practice Location

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