MEDICARE: SPECIAL CARE, 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

General Provider Information

NPI Number	:	1750468799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE, INC.

Provider Business Mailing Address
First Line	:	3401 MADISON ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-2928
Country	:	US
Telephone Number	:	847-674-7244
Fax Number	:	847-674-7264

Provider Business Practice Location Address
First Line	:	3401 MADISON ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-2928
Country	:	US
Telephone Number	:	847-674-7244
Fax Number	:	847-674-7264

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JERRY LATINIK
Credential	:
Telephone Number	:	847-674-7244

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/12/2009

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Directions to “SPECIAL CARE, INC. ” Practice Location

Language	Start Address	Practice Location

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