MEDICARE: A-Z & 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	203000799	IL

General Provider Information

NPI Number	:	1891878856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-Z & MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	1141B S ARLINGTON HEIGHTS RD # B
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3140
Country	:	US
Telephone Number	:	847-718-1833
Fax Number	:	847-718-1197

Provider Business Practice Location Address
First Line	:	1141B S ARLINGTON HEIGHTS RD # B
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3140
Country	:	US
Telephone Number	:	847-718-1833
Fax Number	:	847-718-1197

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DIANA LOPATINSKY
Credential	:
Telephone Number	:	847-718-1833

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	03/29/2012

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