Organization
AB4U, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VASILI SHEGELSKY (OWNER)
(847) 877-0565
Entity
Organization
Contact information
Practice address
5325 N SHERIDAN RD, CHICAGO, IL 60640-2531
(773) 271-5325
(773) 271-2455
Mailing address
5428 EBONY CT, GURNEE, IL 60031-6339
(847) 877-0565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633172
BCBSIL
IL
Enumeration date
12/22/2006
Last updated
08/12/2008
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