MEDICARE: CATALOG-ENTERPRISE

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	343900000X	Non-emergency Medical Transport (VAN)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326811365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALOG-ENTERPRISE

Provider Business Mailing Address
First Line	:	1500 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2517
Country	:	US
Telephone Number	:	800-633-0374
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2517
Country	:	US
Telephone Number	:	800-633-0374
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROYCE GARBUTT
Credential	:
Telephone Number	:	800-633-0374

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/01/2023

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Directions to “CATALOG-ENTERPRISE ” Practice Location

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