MEDICARE: AMERICAN RELIABLE MEDICAL SUPPLY 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	:	1700940293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN RELIABLE MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	2311 W HOWARD ST UNIT WEST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1503
Country	:	US
Telephone Number	:	773-743-0100
Fax Number	:	773-743-6692

Provider Business Practice Location Address
First Line	:	2311 W HOWARD ST UNIT WEST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1503
Country	:	US
Telephone Number	:	773-743-0100
Fax Number	:	773-743-6692

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAMID S BAIG SR.
Credential	:
Telephone Number	:	773-743-0100

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	12/27/2007

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