Provider Demographics
NPI:1245596071
Name:INTEGRA OXYGEN SERVICES LLC
Entity Type:Organization
Organization Name:INTEGRA OXYGEN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-834-3700
Mailing Address - Street 1:747 N CHURCH RD
Mailing Address - Street 2:STE G8
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1420
Mailing Address - Country:US
Mailing Address - Phone:630-834-3700
Mailing Address - Fax:630-834-2256
Practice Address - Street 1:747 N CHURCH RD
Practice Address - Street 2:STE G8
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1420
Practice Address - Country:US
Practice Address - Phone:630-834-3700
Practice Address - Fax:630-834-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies