Organization
ULTIMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WATERS (OWNER)
(847) 509-8550
Entity
Organization
Contact information
Practice address
310 MELVIN DR, SUITE 21, NORTHBROOK, IL 60062-2018
(847) 509-8550
(847) 509-8552
Mailing address
310 MELVIN DR, SUITE 21, NORTHBROOK, IL 60062-2018
(847) 509-8550
(847) 509-8552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/29/2005
Last updated
03/30/2010
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