Provider Demographics
NPI:1467683334
Name:UNLIMITED ADVACARE SYSTEMS, INC
Entity Type:Organization
Organization Name:UNLIMITED ADVACARE SYSTEMS, INC
Other - Org Name:ADVACARE SYSTEMS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-725-8858
Mailing Address - Street 1:2939 N PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-5421
Mailing Address - Country:US
Mailing Address - Phone:773-725-8858
Mailing Address - Fax:773-304-9996
Practice Address - Street 1:819 E LONDON AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61616-1360
Practice Address - Country:US
Practice Address - Phone:309-686-9740
Practice Address - Fax:309-686-9741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.000060332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies