Organization
NORTHERN ILLINOIS HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA SHEPPARD-MILLER (PRESIDENT)
(815) 626-4041
Entity
Organization
Contact information
Practice address
3312 RIVER RD, STERLING, IL 61081-4150
(815) 626-4041
(815) 626-6212
Mailing address
3312 RIVER RD, STERLING, IL 61081-4150
(815) 626-4041
(815) 626-6212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072724
HEALTH ALLIANCE MED PLANS
—
01
—
09832001
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/16/2005
Last updated
07/05/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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