MEDICARE: ABL MEDICAL SUPPLIES

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

General Provider Information

NPI Number	:	1356663918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABL MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	1420 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-8306
Country	:	US
Telephone Number	:	773-590-2121
Fax Number	:	773-278-2797

Provider Business Practice Location Address
First Line	:	1420 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-8306
Country	:	US
Telephone Number	:	773-590-2121
Fax Number	:	773-278-2797

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LEO M BADILLO
Credential	:
Telephone Number	:	17735902121

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	08/25/2011

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Directions to “ABL MEDICAL SUPPLIES ” Practice Location

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