Organization
HIGH TECH MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HUMA SHOAIB YOUSUF (PRESIDENT)
(630) 606-4001
Entity
Organization
Contact information
Practice address
350 W 22ND ST, SUITE 102, LOMBARD, IL 60148-6449
(630) 606-4001
Mailing address
753 LINDSEY LN, BOLINGBROOK, IL 60440-6171
(630) 606-4001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NONE
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE YET
IL
Enumeration date
10/21/2011
Last updated
07/23/2012
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