MEDICARE: ARGUS MEDICAL SUPPLY COMPANY

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	332BX2000X	Oxygen Equipment & Supplies (DME)	203001196	IL

General Provider Information

NPI Number	:	1164740635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARGUS MEDICAL SUPPLY COMPANY

Provider Business Mailing Address
First Line	:	3413 N KENNICOTT AVE STE B
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7815
Country	:	US
Telephone Number	:	847-632-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3413 N KENNICOTT AVE STE B
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7815
Country	:	US
Telephone Number	:	847-632-1100
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MRS. ELLA RUSSO
Credential	:
Telephone Number	:	847-632-1100

Provider Enumeration Date	:	05/09/2010
Last Update Date	:	12/21/2010

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Directions to “ARGUS MEDICAL SUPPLY COMPANY ” Practice Location

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