MEDICARE: FIRST AID MEDICAL SUPPLY CO.

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		IL

General Provider Information

NPI Number	:	1154320091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST AID MEDICAL SUPPLY CO.

Provider Business Mailing Address
First Line	:	5109 BROWN ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3631
Country	:	US
Telephone Number	:	847-675-2383
Fax Number	:	847-675-2430

Provider Business Practice Location Address
First Line	:	5109 BROWN ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3631
Country	:	US
Telephone Number	:	847-675-2383
Fax Number	:	847-675-2430

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GENE SCHLOSS
Credential	:
Telephone Number	:	847-675-2383

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/22/2020

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