MEDICARE: AMERICAN HOMEPATIENT, 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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	203000053	IL
2	332BX2000X	Oxygen Equipment & Supplies (DME)	203000053	IL

General Provider Information

NPI Number	:	1578536058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMEPATIENT, INC.

Provider Business Mailing Address
First Line	:	1660 SOLUTIONS CTR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-1006
Country	:	US
Telephone Number	:	217-535-2340
Fax Number	:	217-535-4140

Provider Business Practice Location Address
First Line	:	4 CUSUMANO PROFESSIONAL PLAZA DR
Second Line	:	SUITE A
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-6736
Country	:	US
Telephone Number	:	618-244-9922
Fax Number	:	618-244-9966

Authorized Official
Title or Position	:	COO
Name	:	MR. GREG MCCARTHY
Credential	:
Telephone Number	:	727-530-7700

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	04/07/2016

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