MEDICARE: MEDICAL SPECIALTIES, 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	18519971	MO

General Provider Information

NPI Number	:	1588651384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SPECIALTIES, INC.

Provider Business Mailing Address
First Line	:	8656 ORF ROAD
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367
Country	:	US
Telephone Number	:	636-561-4444
Fax Number	:	636-561-4493

Provider Business Practice Location Address
First Line	:	8656 ORF ROAD
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367
Country	:	US
Telephone Number	:	636-561-4444
Fax Number	:	636-561-4493

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM H SCHILLIGO JR.
Credential	:
Telephone Number	:	636-561-4444

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	08/22/2020

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Directions to “MEDICAL SPECIALTIES, INC. ” Practice Location

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