Organization
PROFESSIONAL MEDICAL & SURGICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN C FERRY JR. (COO)
(815) 726-6279
Entity
Organization
Contact information
Practice address
1917 GARNET CT, NEW LENOX, IL 60451-1593
(800) 648-5190
(866) 656-6332
Mailing address
1917 GARNET CT, NEW LENOX, IL 60451-1593
(800) 648-5190
(866) 656-6332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013081177
—
WI
05
—
03333653
—
NY
01
—
08574/11.1
MEDICAL EQUIPMENT SUPPLIER
MS
05
—
100259906-00
—
NE
05
—
102562380
—
PA
01
—
1043
HME
AL
01
—
104409276
CERTIFICATE OF REGISTRATION SALE & USE
TN
05
—
1235212556
—
GA
05
—
1235212556
—
IA
05
—
1235212556 FOR MO
—
MO
05
—
1235212556 FOR UT
—
UT
01
—
1347042
STATE OF OHIO FOREIGN BUSINESS LICENSE
OH
05
—
146633158A
—
GA
01
—
16-00483
DME
KS
05
—
200714550A
—
KS
05
—
200819870A
—
IN
01
—
203.001039
HME LICENSE
IL
05
—
3143388
—
OH
01
—
3XXXX3409 FOR NY
CERTIFICATE OF AUTHORITY
NY
05
—
41742200
—
WI
01
—
5306003914
WHOLESALER LICENSE
MI
01
—
6000007643
CERTIFICATE OF DEVICE REGISTRATION
PA
01
—
69000595A
HME LICENSE
IN
05
—
7100081800
—
KY
01
—
F01075656
CERTIFICATE OF AUTHORITY
MO
01
—
HME00240
HME
KY
01
—
HME22862
HME
OH
05
—
ME-0156417
—
MI
01
—
MG01323
SUPPLIER OF MEDICAL EQUIPMENT LICENSE
AR
05
—
NPI
—
IA
05
—
NPI FOR MHCP
—
MN
Enumeration date
10/23/2006
Last updated
03/09/2016
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