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ADVANCED ILLINOIS MEDICAL INC NPI 1518235639


NPI Information

NPI: 1518235639
Provider Name: ADVANCED ILLINOIS MEDICAL INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2158039

Address:
2 W TALCOTT RD
STE. 32
PARK RIDGE, IL
ZIP 60068
Phone: (847) 720-4310
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ADVANCED ILLINOIS MEDICAL INC is a durable medical equipment medical supplies in Park Ridge, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANCED ILLINOIS MEDICAL INC NPI is 1518235639. The provider is registered as an organization entity type.

The provider's business location address is:

2 W TALCOTT RD
STE. 32
PARK RIDGE, IL
ZIP 60068-556
Phone: (847) 720-4310

The provider's authorized official is Andres R Barriga .
The authorized official title is Vice President and has the following contact phone number (847) 720-4310.

The CLIA number assigned to this NPI record is 14D2158039 - other - reproductive laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/3/2011 and was last updated on 12/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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