Organization
ADVANCE SURGICAL INSTRUMENTS INC
Active
Other names
ADVANCE HOME MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD KHAWAJA (MANAGER)
(312) 549-9903
Entity
Organization
Contact information
Practice address
402 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440-1800
(312) 549-9903
(312) 549-9904
Mailing address
402 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440-1800
(312) 549-9903
(312) 549-9904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/04/2016
Last updated
11/28/2020
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