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Organization
ADVANTAGE HOME MEDICAL EQUIPMENT, INC
Active
Organization
ADVANTAGE HOME MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S ZEZULAK (PRESIDENT)
(708) 579-5790
Entity
Organization
Contact information
Practice address
911 W 55TH ST, COUNTRYSIDE, IL 60525-6628
(708) 579-5790
(708) 579-1384
Mailing address
911 W 55TH ST, COUNTRYSIDE, IL 60525-6628
(708) 579-5790
(708) 579-1384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203000326
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203000326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203000326
ILLINOIS HME PROVIDER LIC
IL
Enumeration date
04/05/2006
Last updated
04/20/2008
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