Provider Demographics
NPI:1265834865
Name:UNIQUE DME INC
Entity Type:Organization
Organization Name:UNIQUE DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ENSALACO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-312-6121
Mailing Address - Street 1:625 ORANGE LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-3118
Mailing Address - Country:US
Mailing Address - Phone:708-608-0363
Mailing Address - Fax:
Practice Address - Street 1:625 ORANGE LN
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-3118
Practice Address - Country:US
Practice Address - Phone:708-608-0363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies