MEDICARE: AIR SYSTEMS OF ILLINOIS

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	332BX2000X	Oxygen Equipment & Supplies (DME)		IL

General Provider Information

NPI Number	:	1881707321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR SYSTEMS OF ILLINOIS

Provider Business Mailing Address
First Line	:	3305 BUTLER ST
Second Line	:
City	:	SOUTH CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-5506
Country	:	US
Telephone Number	:	708-754-5040
Fax Number	:	708-754-5857

Provider Business Practice Location Address
First Line	:	3305 BUTLER ST
Second Line	:
City	:	SOUTH CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-5506
Country	:	US
Telephone Number	:	708-754-5040
Fax Number	:	708-754-5857

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KENNETH R CARPENTER
Credential	:
Telephone Number	:	708-754-5040

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/22/2020

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