Provider Demographics
NPI:1386194025
Name:A1 HOME MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:A1 HOME MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAASHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-528-8997
Mailing Address - Street 1:121 FAIRFIELD WAY STE 319
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1585
Mailing Address - Country:US
Mailing Address - Phone:630-815-2381
Mailing Address - Fax:630-474-6724
Practice Address - Street 1:2200 GLADSTONE CT
Practice Address - Street 2:SUITE A UNIT B
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1500
Practice Address - Country:US
Practice Address - Phone:630-528-8997
Practice Address - Fax:630-597-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies