Organization
BAXTER SUPPLY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL M SCHAAF (PRESIDENT)
(847) 473-6121
Entity
Organization
Contact information
Practice address
1 BAXTER PKWY, DEERFIELD, IL 60015-4625
(847) 940-5353
(847) 940-5350
Mailing address
1 BAXTER PKWY, DEERFIELD, IL 60015-4625
(847) 940-5353
(847) 940-5350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000237600
—
ID
05
—
003020260
—
CT
01
—
004970096
BCBS
IL
05
—
00828428
—
NY
05
—
0306645
—
OH
05
—
100003830B
—
IN
05
—
100793810A
—
OK
05
—
117863600
—
MN
05
—
117863600
—
ND
05
—
121840601
—
TX
05
—
123341741
—
AR
05
—
1336025
—
LA
05
—
4580593
—
TN
05
—
4836880
—
MS
05
—
7501749
—
MA
05
—
90072331
—
KY
Enumeration date
05/10/2006
Last updated
04/20/2008
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