MEDICARE: RN PRIME MEDICAL SOLUTIONS, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1396678827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RN PRIME MEDICAL SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3500 S UNION AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1628
Country	:	US
Telephone Number	:	754-290-2307
Fax Number	:	844-670-6009

Provider Business Practice Location Address
First Line	:	3500 S UNION AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1628
Country	:	US
Telephone Number	:	754-290-2307
Fax Number	:	844-670-6009

Authorized Official
Title or Position	:	COUNSEL
Name	:	DAVID JOHN DAVIDSON
Credential	:	ESQ.
Telephone Number	:	754-290-2307

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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