Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CUSTOM MED, LLC
Active
Organization
CUSTOM MED, LLC
Active
Other names
Custom Med Plus
Organization subpart
No
Provider details
NPI number
Authorized official
INAS DAHABRA (MANAGER)
(708) 289-6721
Entity
Organization
Contact information
Practice address
4312 N PULASKI, CHICAGO, IL 60641
(708) 289-6721
(779) 803-0170
Mailing address
4312 N PULASKI, CHICAGO, IL 60641
(708) 289-6721
(779) 803-0170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
12/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers