MEDICARE: APK MEDICAL SUPPLY PROVIDERS, 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	:	1922205624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APK MEDICAL SUPPLY PROVIDERS, INC

Provider Business Mailing Address
First Line	:	251 MILWAUKEE AVE
Second Line	:	1004
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2809
Country	:	US
Telephone Number	:	847-520-8240
Fax Number	:	847-520-8244

Provider Business Practice Location Address
First Line	:	251 MILWAUKEE AVE
Second Line	:	1004
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2809
Country	:	US
Telephone Number	:	847-520-8240
Fax Number	:	847-520-8244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	POLINA BODNYA
Credential	:
Telephone Number	:	847-520-8240

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	08/22/2020

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