Provider Demographics
NPI:1407313919
Name:PROMEDICS INC
Entity Type:Organization
Organization Name:PROMEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUNZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-877-7533
Mailing Address - Street 1:2 W TALCOTT RD STE 22
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-5558
Mailing Address - Country:US
Mailing Address - Phone:847-696-7334
Mailing Address - Fax:
Practice Address - Street 1:2 W TALCOTT RD STE 22
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-5558
Practice Address - Country:US
Practice Address - Phone:847-696-7334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies