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NPI Code Detail

MEDICARE: NEXUM MEDICAL SUPPLIER LLC

MEDICARE: NEXUM MEDICAL SUPPLIER LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1356285639
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUM MEDICAL SUPPLIER LLC
Provider Business Mailing Address
First Line : 518 WASHINGTON SQ
Second Line :
City : WOOD DALE
State : IL
Zip : 60191-1818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 518 WASHINGTON SQ
Second Line :
City : WOOD DALE
State : IL
Zip : 60191-1818
Country : US
Telephone Number : 251-315-4185
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ASIF KHAN
Credential :
Telephone Number : 251-315-4185
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “NEXUM MEDICAL SUPPLIER LLC ” Practice Location

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