Premier Homecare Supplies, Ltd
Durable Medical Equipment & Medical Supplies in Chicago, IL. Organization (NPI-2).
NPI number1982602207
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1982602207
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Homecare Supplies, Ltd
- Organization subpart
- No
- Enumeration date
- Jul 11, 2005
- Last updated
- Oct 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5778 | IL | Yes |
Practice location
8048 S Kedzie AveChicago, IL 60652-2603
Phone 773-776-9941 · Fax 773-776-9953
Mailing address
8048 S Kedzie AveChicago, IL 60652-2603
Phone 773-776-9941 · Fax 773-776-9953
Authorized official
Tony Zakhem
President
7737769941
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