Provider Demographics
NPI:1013412725
Name:MEDICAL SUPPLY POINTE, INC.
Entity Type:Organization
Organization Name:MEDICAL SUPPLY POINTE, INC.
Other - Org Name:MEDICAL SUPPLY POINTE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OROBOSA
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:OROBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-991-7676
Mailing Address - Street 1:19150 S KEDZIE AVE.
Mailing Address - Street 2:UNIT 103A
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422
Mailing Address - Country:US
Mailing Address - Phone:708-991-7676
Mailing Address - Fax:708-991-7648
Practice Address - Street 1:19150 S KEDZIE AVE.
Practice Address - Street 2:SUITE 103A
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1511
Practice Address - Country:US
Practice Address - Phone:708-253-8999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILDMEHS2018332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
7720690001OtherNSC
ILDMEHS2018OtherDMEHS