Provider Demographics
NPI:1447420500
Name:AL AND PO CORPORATION
Entity Type:Organization
Organization Name:AL AND PO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-276-2838
Mailing Address - Street 1:175 N MILWAUKEE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-4302
Mailing Address - Country:US
Mailing Address - Phone:847-276-2838
Mailing Address - Fax:847-276-2839
Practice Address - Street 1:175 N MILWAUKEE AVE STE 300
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-4302
Practice Address - Country:US
Practice Address - Phone:847-276-2838
Practice Address - Fax:847-276-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
6034230001Medicare NSC