Provider Demographics
NPI:1033609870
Name:ONSITE DURABLE MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:ONSITE DURABLE MEDICAL EQUIPMENT INC.
Other - Org Name:ONSITE DURABLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAATOUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-294-4500
Mailing Address - Street 1:7301 N LINCOLN AVE STE 197
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1745
Mailing Address - Country:US
Mailing Address - Phone:224-766-7669
Mailing Address - Fax:
Practice Address - Street 1:7301 N LINCOLN AVE STE 197
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1745
Practice Address - Country:US
Practice Address - Phone:224-766-7669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies