MEDICARE: MEDICAL SUPPLY DEPOT

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	1475809472	IL

General Provider Information

NPI Number	:	1326439027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SUPPLY DEPOT

Provider Business Mailing Address
First Line	:	2662 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1307
Country	:	US
Telephone Number	:	773-868-3994
Fax Number	:

Provider Business Practice Location Address
First Line	:	2662 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1307
Country	:	US
Telephone Number	:	773-868-3994
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HINA CHOWDHRY
Credential	:
Telephone Number	:	260-418-8050

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	02/17/2015

Similar Medicare Providers

1174279020 — KATHERINE WASHAGAN PA-C
Practice Location Address:

2662 N LINCOLN AVE
CHICAGO, IL
60614-1307

Practice Phone: 847-795-0900
Practice Fax:

1346377652 — THE SPORTS INJURY CENTER, LTD.
Practice Location Address:

2654 N LINCOLN AVE
CHICAGO, IL
60614-1307

Practice Phone: 773-529-4129
Practice Fax: 773-529-5672

1831301522 — CHICAGO CHIROPRACTIC & SPORTS INJURY CENTER
Practice Location Address:

2654 N LINCOLN AVE
CHICAGO, IL
60614-1307

Practice Phone: 773-529-5670
Practice Fax: 773-529-5672

1265601520 — MS. LAURA MARIE OWENS
Practice Location Address:

2642 N LINCOLN AVE # 2
CHICAGO, IL
60614-1307

Practice Phone: 847-525-1521
Practice Fax:

1578902342 — DR. ANDREW DANIELSON D.C.
Practice Location Address:

2654 N LINCOLN AVE
CHICAGO, IL
60614-1307

Practice Phone: 773-529-9355
Practice Fax:

1477919611 — NATHAN HALVERSON D.C.
Practice Location Address:

2654 N LINCOLN AVE
CHICAGO, IL
60614-1307

Practice Phone: 773-529-9355
Practice Fax:

Directions to “MEDICAL SUPPLY DEPOT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.