Provider Demographics
NPI:1417242116
Name:ALLIED MEDICAL EQUIPMENT CORPORATION
Entity Type:Organization
Organization Name:ALLIED MEDICAL EQUIPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-464-6131
Mailing Address - Street 1:7870B LINCOLN AVENUE
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:630-464-6131
Mailing Address - Fax:
Practice Address - Street 1:7870B LINCOLN AVE
Practice Address - Street 2:SUITE # 103
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:630-464-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies