Provider Demographics
NPI:1164589081
Name:A2Z MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:A2Z MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-335-2209
Mailing Address - Street 1:17084 WINCHESTER AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-1356
Mailing Address - Country:US
Mailing Address - Phone:708-335-2209
Mailing Address - Fax:708-335-2219
Practice Address - Street 1:11235 TWIN LAKES DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-1338
Practice Address - Country:US
Practice Address - Phone:708-925-6170
Practice Address - Fax:708-335-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.000465332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001633476OtherBCBS OF IL
IL0001633476OtherBCBS OF IL
IL4801440001Medicare NSC