Provider Demographics
NPI:1184202699
Name:HEALTHMED SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHMED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOLOULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-543-0563
Mailing Address - Street 1:1002 W VAN BUREN ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3037
Mailing Address - Country:US
Mailing Address - Phone:708-543-0563
Mailing Address - Fax:
Practice Address - Street 1:1002 W VAN BUREN ST UNIT 301
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3037
Practice Address - Country:US
Practice Address - Phone:708-543-0563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies