Provider Demographics
NPI:1477267573
Name:ECHO MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:ECHO MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAFIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:SADRUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-432-5582
Mailing Address - Street 1:1028 SHERINGHAM DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6110
Mailing Address - Country:US
Mailing Address - Phone:209-432-5582
Mailing Address - Fax:209-432-5587
Practice Address - Street 1:4S100 N ROUTE 59
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9641
Practice Address - Country:US
Practice Address - Phone:209-432-5582
Practice Address - Fax:209-432-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies