Organization
ALFA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID KHAWAJA (PRESIDENT)
(630) 279-4441
Entity
Organization
Contact information
Practice address
250 E SAINT CHARLES RD, SUITE 5, VILLA PARK, IL 60181-2472
(630) 279-4441
(630) 279-4449
Mailing address
250 E SAINT CHARLES RD, SUITE 5, VILLA PARK, IL 60181-2472
(630) 279-4441
(630) 279-4449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
19752-84480
IL
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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