MEDICARE: Y&Y MEDICAL SUPPLY

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	:	1154466720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y&Y MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	2914 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1508
Country	:	US
Telephone Number	:	773-274-2099
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YURY SHRAYBER
Credential	:
Telephone Number	:	773-274-2099

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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