MEDICARE: DME SUPPLY 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

General Provider Information

NPI Number	:	1073241295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME SUPPLY INC

Provider Business Mailing Address
First Line	:	1793 BLOOMINGDALE RD STE 12
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3800
Country	:	US
Telephone Number	:	331-286-6628
Fax Number	:

Provider Business Practice Location Address
First Line	:	1793 BLOOMINGDALE RD STE 12
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-3800
Country	:	US
Telephone Number	:	331-286-6628
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AQIB BIN JAVED
Credential	:
Telephone Number	:	224-830-8334

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	12/08/2023

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Directions to “DME SUPPLY INC ” Practice Location

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