MEDICARE: INTEGRATED RESPIRATORY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1083947923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED RESPIRATORY SERVICES, INC

Provider Business Mailing Address
First Line	:	215 W WRIGHTWOOD AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-1112
Country	:	US
Telephone Number	:	708-527-2161
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 W WRIGHTWOOD AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-1112
Country	:	US
Telephone Number	:	708-527-2161
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. JOY MARIE MANNELLA
Credential	:	RRT
Telephone Number	:	708-527-2161

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	09/10/2009

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