MEDICARE: ATLAS & ASSOCIATES, INC

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	:	1467911313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS & ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	4907 SUNSET LANE
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478
Country	:	US
Telephone Number	:	708-525-4097
Fax Number	:	708-798-4328

Provider Business Practice Location Address
First Line	:	4907 SUNSET LANE
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478
Country	:	US
Telephone Number	:	708-525-4097
Fax Number	:	708-798-4328

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHELIA SWAN
Credential	:
Telephone Number	:	708-525-4097

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	03/19/2019

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