MEDICARE: RELIABLE MEDICAL SUPPLY OF THE MIDWEST

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		IL

General Provider Information

NPI Number	:	1356486161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE MEDICAL SUPPLY OF THE MIDWEST

Provider Business Mailing Address
First Line	:	200 HOWARD AVE
Second Line	:	SUITE 246
City	:	DES PLAINES
State	:	IL
Zip	:	60018-5906
Country	:	US
Telephone Number	:	847-566-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HOWARD AVE
Second Line	:	SUITE 246
City	:	DES PLAINES
State	:	IL
Zip	:	60018-5906
Country	:	US
Telephone Number	:	847-566-0800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YISHAI BRONER
Credential	:
Telephone Number	:	847-566-0800

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/21/2012

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