MEDICARE: ALL AMERICAN 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		IL

General Provider Information

NPI Number	:	1922177427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN SUPPLY INC

Provider Business Mailing Address
First Line	:	6433 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5208
Country	:	US
Telephone Number	:	773-764-0184
Fax Number	:	773-764-0186

Provider Business Practice Location Address
First Line	:	6433 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5208
Country	:	US
Telephone Number	:	773-764-0184
Fax Number	:	773-764-0186

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. URVI PATEL
Credential	:
Telephone Number	:	773-764-0184

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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