MEDICARE: 4U HOME MEDICAL EQUIPMENT 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1497997183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4U HOME MEDICAL EQUIPMENT INC.

Provider Business Mailing Address
First Line	:	3900 WOOD DUCK DR
Second Line	:	SUITE B
City	:	SPRINGFIELD
State	:	IL
Zip	:	62711-7048
Country	:	US
Telephone Number	:	217-546-2546
Fax Number	:	217-546-2547

Provider Business Practice Location Address
First Line	:	3900 WOOD DUCK DR
Second Line	:	SUITE B
City	:	SPRINGFIELD
State	:	IL
Zip	:	62711-7048
Country	:	US
Telephone Number	:	217-546-2546
Fax Number	:	217-546-2547

Authorized Official
Title or Position	:	CEO
Name	:	MR. ANTHONY OLONA
Credential	:
Telephone Number	:	217-546-2546

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	06/16/2011

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