Provider Demographics
NPI:1376827931
Name:WINDY CITY MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:WINDY CITY MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-585-0530
Mailing Address - Street 1:529 ASHLAND AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1639
Mailing Address - Country:US
Mailing Address - Phone:708-585-0530
Mailing Address - Fax:
Practice Address - Street 1:529 ASHLAND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1639
Practice Address - Country:US
Practice Address - Phone:708-585-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No343800000XTransportation ServicesSecured Medical Transport (VAN)