Provider Demographics
NPI:1114180478
Name:ABLE MEDICAL EQUIP.& SUPPLIES, INC
Entity Type:Organization
Organization Name:ABLE MEDICAL EQUIP.& SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:EDILI
Authorized Official - Last Name:MODUNKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-863-6750
Mailing Address - Street 1:6555 SOUTH KEDZIE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-3430
Mailing Address - Country:US
Mailing Address - Phone:773-863-6755
Mailing Address - Fax:
Practice Address - Street 1:6555 SOUTH KEDZIE AVENUE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-3430
Practice Address - Country:US
Practice Address - Phone:773-863-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies