Provider Demographics
NPI:1124216338
Name:GLOBAL MEDICAL & HOSPITAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:GLOBAL MEDICAL & HOSPITAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KUSEME
Authorized Official - Middle Name:ROSIE
Authorized Official - Last Name:UDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-249-7475
Mailing Address - Street 1:2504 WASHINGTON ST
Mailing Address - Street 2:#404
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-4983
Mailing Address - Country:US
Mailing Address - Phone:847-249-7475
Mailing Address - Fax:847-249-7485
Practice Address - Street 1:2405 WASHINGTON STREET
Practice Address - Street 2:#404
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085
Practice Address - Country:US
Practice Address - Phone:847-249-7475
Practice Address - Fax:847-249-7485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6032450002Medicare NSC