Provider Demographics
NPI:1093792897
Name:ALPHAMED INC
Entity Type:Organization
Organization Name:ALPHAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RIMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KILIMNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-564-9161
Mailing Address - Street 1:2970 MARIA AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2015
Mailing Address - Country:US
Mailing Address - Phone:847-564-9161
Mailing Address - Fax:847-564-9160
Practice Address - Street 1:2970 MARIA AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2015
Practice Address - Country:US
Practice Address - Phone:847-564-9161
Practice Address - Fax:847-564-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000557332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200863640Medicaid
IL01634168OtherBCBS
IL5112080001Medicare PIN