Organization
A & E MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO AKSELRUD (VICE-PRESIDENT)
(773) 205-0011
Entity
Organization
Contact information
Practice address
1832 TECHNY CT, NORTHBROOK, IL 60062-5474
(773) 205-0011
(773) 205-0044
Mailing address
1832 TECHNY CT, NORTHBROOK, IL 60062-5474
(773) 205-0011
(773) 205-0044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635220
BC/BS OF IL
IL
05
—
200531540A
—
IN
01
—
N318253
WELLCARE (HARMONY HEALTH)
FL
Enumeration date
03/22/2006
Last updated
02/24/2015
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