Organization
PHOENIX HOME MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNAID HUSSAIN (MANAGING PARTNER)
(224) 520-0050
Entity
Organization
Contact information
Practice address
6798 WATTS RD, MADISON, WI 53719-1318
(608) 400-5219
Mailing address
1800 MCDONOUGH RD STE 209, HOFFMAN ESTATES, IL 60192-4565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
04/11/2024
About Stedi
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