Provider Demographics
NPI:1386221992
Name:MEDICAL SUPPLIES AND MORE LLC
Entity Type:Organization
Organization Name:MEDICAL SUPPLIES AND MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLAJIDE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-567-4620
Mailing Address - Street 1:6101 N. SHERIDAN RD EAST
Mailing Address - Street 2:STE 9B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660
Mailing Address - Country:US
Mailing Address - Phone:773-567-4620
Mailing Address - Fax:
Practice Address - Street 1:6101 N. SHERIDAN RD EAST
Practice Address - Street 2:STE 9B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660
Practice Address - Country:US
Practice Address - Phone:773-567-4620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies