Organization
MEDSTREAM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA R TROSMAN PHD (PRESIDENT)
(225) 619-2900
Entity
Organization
Contact information
Practice address
666 DUNDEE RD, SUITE 807, NORTHBROOK, IL 60062-2727
(224) 406-8997
(224) 406-8998
Mailing address
666 DUNDEE RD, SUITE 807, NORTHBROOK, IL 60062-2727
(224) 406-8997
(224) 406-8998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000513
IL
332BC3200X
Customized Equipment (DME)
203000513
IL
332BD1200X
Dialysis Equipment & Supplies (DME)
203000513
IL
332BN1400X
Nursing Facility Supplies (DME)
203000513
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
203000513
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
203000513
IL
Other
Enumeration date
04/27/2009
Last updated
09/17/2009
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