Provider Demographics
NPI:1316200835
Name:ALL HOME MEDICAL SUPPLY CO,
Entity Type:Organization
Organization Name:ALL HOME MEDICAL SUPPLY CO,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-980-0780
Mailing Address - Street 1:400 LAKE ST
Mailing Address - Street 2:SUITE NUMBER 320C
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3574
Mailing Address - Country:US
Mailing Address - Phone:630-980-0780
Mailing Address - Fax:847-348-9767
Practice Address - Street 1:400 LAKE ST
Practice Address - Street 2:SUITE NUMBER 320C
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3574
Practice Address - Country:US
Practice Address - Phone:630-980-0780
Practice Address - Fax:847-348-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies