MEDICARE: XPRES HOME MEDICAL SUPPLIES 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	:	1790010346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRES HOME MEDICAL SUPPLIES INC.

Provider Business Mailing Address
First Line	:	3513 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4404
Country	:	US
Telephone Number	:	773-685-1575
Fax Number	:	773-289-0826

Provider Business Practice Location Address
First Line	:	3513 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4404
Country	:	US
Telephone Number	:	773-685-1575
Fax Number	:	773-289-0826

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LYNETTE SANTIAGO
Credential	:
Telephone Number	:	773-685-1575

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	09/02/2010

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