MEDICARE: MEDICAL SUPPLY ACQUISITIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	IL
2	332B00000X	Durable Medical Equipment & Medical Supplies	IL
3	332BC3200X	Customized Equipment (DME)	IL

General Provider Information

NPI Number	:	1235135831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SUPPLY ACQUISITIONS, LLC

Provider Business Mailing Address
First Line	:	1215 S. HARLEM AVE.
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130
Country	:	US
Telephone Number	:	708-771-2000
Fax Number	:	773-626-1504

Provider Business Practice Location Address
First Line	:	1215 HARLEM AVE
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-2407
Country	:	US
Telephone Number	:	708-771-2000
Fax Number	:	773-626-1504

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD ROVNICK
Credential	:
Telephone Number	:	708-771-2000

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	09/11/2025

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