MEDICARE: D C MEDICAL SUPPLIES COMPANY

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6027750001	OTHER	IL	NATIONAL GOVERNMENT SERVICES

General Provider Information

NPI Number	:	1720277668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D C MEDICAL SUPPLIES COMPANY

Provider Business Mailing Address
First Line	:	2419 W MADISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2172
Country	:	US
Telephone Number	:	312-733-9441
Fax Number	:	312-733-9442

Provider Business Practice Location Address
First Line	:	2419 W MADISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2172
Country	:	US
Telephone Number	:	312-733-9441
Fax Number	:	312-733-9442

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DARRYL CHAFFIN
Credential	:
Telephone Number	:	312-733-9441

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	01/13/2026

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Directions to “D C MEDICAL SUPPLIES COMPANY ” Practice Location

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