Organization
ADVANCED MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG KACHEROV (PRESIDENT)
(773) 205-6993
Entity
Organization
Contact information
Practice address
3322 N MILWAUKEE AVE, CHICAGO, IL 60641-4001
(773) 205-6993
(773) 205-6994
Mailing address
3322 N MILWAUKEE AVE, CHICAGO, IL 60641-4001
(773) 205-6993
(773) 205-6994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
06/05/2006
Last updated
02/04/2008
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