Provider Demographics
NPI:1083068886
Name:NEIGHBORHOOD MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-452-5710
Mailing Address - Street 1:965 W SPENCER CT
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2206
Mailing Address - Country:US
Mailing Address - Phone:847-452-5710
Mailing Address - Fax:
Practice Address - Street 1:965 W SPENCER CT
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2206
Practice Address - Country:US
Practice Address - Phone:847-452-5710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment