Organization · NPI-2

1 Stop Medical Supply Shop

Durable Medical Equipment & Medical Supplies · Chicago, IL

NPI number1265979389
StatusActive
Last updated in NPPESJan 26, 2017

Details

NPI
1265979389
Entity type
Organization (NPI-2)
Legal business name
1 Stop Medical Supply Shop
Organization subpart
No
Enumeration date
Jan 26, 2017
Last updated
Jan 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1055 W Bryn Mawr Ave
Ste F252
Chicago, IL 60660-4691

Phone 773-892-5051 · Fax 855-839-7078

Mailing address

1055 W Bryn Mawr Ave
Ste F252
Chicago, IL 60660-4691

Phone 773-892-5051 · Fax 855-839-7078

Authorized official

Anthony Banks
Owner
7738925051

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