Provider Demographics
NPI:1144565078
Name:XCEL MED LLC
Entity Type:Organization
Organization Name:XCEL MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LATINIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-864-4901
Mailing Address - Street 1:3401 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2928
Mailing Address - Country:US
Mailing Address - Phone:847-864-4901
Mailing Address - Fax:847-455-1666
Practice Address - Street 1:2325 POINTE PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3294
Practice Address - Country:US
Practice Address - Phone:317-688-9028
Practice Address - Fax:317-688-9029
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:XCEL MED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies