Provider Demographics
NPI:1437236627
Name:NEW STANDARD MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:NEW STANDARD MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-449-7960
Mailing Address - Street 1:4413 ROOSEVELT RD
Mailing Address - Street 2:102A
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162-2074
Mailing Address - Country:US
Mailing Address - Phone:708-449-7960
Mailing Address - Fax:
Practice Address - Street 1:4413 ROOSEVELT RD
Practice Address - Street 2:102A
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-2074
Practice Address - Country:US
Practice Address - Phone:708-449-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies