MEDICARE: AB4U, 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	203.000458	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01633172	OTHER	IL	BCBSIL

General Provider Information

NPI Number	:	1952466757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB4U, INC.

Provider Business Mailing Address
First Line	:	5428 EBONY CT
Second Line	:
City	:	GURNEE
State	:	IL
Zip	:	60031-6339
Country	:	US
Telephone Number	:	847-877-0565
Fax Number	:

Provider Business Practice Location Address
First Line	:	5325 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2531
Country	:	US
Telephone Number	:	773-271-5325
Fax Number	:	773-271-2455

Authorized Official
Title or Position	:	OWNER
Name	:	MR. VASILI SHEGELSKY
Credential	:
Telephone Number	:	847-877-0565

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	08/12/2008

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Directions to “AB4U, INC. ” Practice Location

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