MEDICARE: UNLIMITED ADVACARE 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

General Provider Information

NPI Number	:	1619967411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED ADVACARE INC

Provider Business Mailing Address
First Line	:	2939 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5421
Country	:	US
Telephone Number	:	773-794-5014
Fax Number	:	773-304-9996

Provider Business Practice Location Address
First Line	:	2939 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5421
Country	:	US
Telephone Number	:	773-725-8858
Fax Number	:	773-304-9996

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	LARRY FELDMAN
Credential	:
Telephone Number	:	773-491-1300

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	08/30/2024

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