Provider Demographics
NPI:1275671190
Name:HRC MEDICAL SUPPLY, LTD.
Entity Type:Organization
Organization Name:HRC MEDICAL SUPPLY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-685-7816
Mailing Address - Street 1:5544 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4129
Mailing Address - Country:US
Mailing Address - Phone:773-685-7816
Mailing Address - Fax:773-685-7829
Practice Address - Street 1:5544 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4129
Practice Address - Country:US
Practice Address - Phone:773-685-7816
Practice Address - Fax:773-685-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies