Organization · NPI-2

Ad Medical Supply, INC.

Durable Medical Equipment & Medical Supplies · Chicago, IL

NPI number1629015904

StatusActive

Last updated in NPPESJun 29, 2023

Details

NPI: 1629015904
Entity type: Organization (NPI-2)
Legal business name: Ad Medical Supply, INC.
Organization subpart: No
Enumeration date: Jun 2, 2006
Certification date: Jun 29, 2023
Last updated: Jun 29, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	–	–	Yes
133V00000X	Dietitian, Registered	–	–

Practice location

6160 N Cicero Ave Ste 503
Chicago, IL 60646-4327

Phone 773-292-1940 · Fax 773-292-1939

Mailing address

6160 N Cicero Ave Ste 503
Chicago, IL 60646-4327

Phone 773-292-1940 · Fax 773-292-1939

Authorized official

Cory D Skwor
President
7732921940

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