Organization
ABC HOME MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
651 W TERRA COTTA AVE STE 221, CRYSTAL LAKE, IL 60014-3401
(779) 220-0075
(877) 785-7396
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(866) 897-8588
(877) 785-7396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261304
—
WI
05
—
620145440
—
MO
Enumeration date
03/04/2019
Last updated
02/17/2026
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