MEDICARE: LINK 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	332B00000X	Durable Medical Equipment & Medical Supplies		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001622352	OTHER	IL	BLUECROSS & BLUESHIELD OF

General Provider Information

NPI Number	:	1548360449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINK MEDICAL EQUIPMENT INC.

Provider Business Mailing Address
First Line	:	6406 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5209
Country	:	US
Telephone Number	:	773-465-5936
Fax Number	:	773-465-6042

Provider Business Practice Location Address
First Line	:	6406 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5209
Country	:	US
Telephone Number	:	773-465-5936
Fax Number	:	773-465-6042

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DMITRY LITVINSKY
Credential	:
Telephone Number	:	773-465-5936

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	08/22/2020

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