Provider Demographics
NPI:1407364136
Name:ABC MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ABC MEDICAL SERVICES INC
Other - Org Name:ABC MEDICAL SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-952-4850
Mailing Address - Street 1:727 S SALEM DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2764
Mailing Address - Country:US
Mailing Address - Phone:847-323-8023
Mailing Address - Fax:708-418-0009
Practice Address - Street 1:118 E 90TH DR
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7160
Practice Address - Country:US
Practice Address - Phone:888-952-4850
Practice Address - Fax:855-494-9979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC MEDICAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-16
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN69000327A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200823050BMedicaid