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NPI Code Detail

MEDICARE: TOTAL MEDICAL SERVICES, INC.

MEDICARE: TOTAL MEDICAL SERVICES, 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
1332B00000XDurable Medical Equipment & Medical Supplies203-000627IL

General Provider Information

NPI Number : 1043215510
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL MEDICAL SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 463
Second Line :
City : FLOSSMOOR
State : IL
Zip : 60422-0463
Country : US
Telephone Number : 708-335-3775
Fax Number : 708-335-3778
Provider Business Practice Location Address
First Line : 1503 WEST 174TH STREET
Second Line :
City : EAST HAZEL CREST
State : IL
Zip : 60429-1758
Country : US
Telephone Number : 708-335-3775
Fax Number : 708-335-3778
Authorized Official
Title or Position : PRESIDENT
Name : MR. EMMANUEL HAROLD WEDGEWORTH SR.
Credential : RT,MS
Telephone Number : 708-335-3775
Provider Enumeration Date : 06/20/2005
Last Update Date : 08/18/2008

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