Provider Demographics
NPI:1497826192
Name:QUICKSTAR MEDICAL EQUIPMENT & SUPPLIES
Entity Type:Organization
Organization Name:QUICKSTAR MEDICAL EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOINUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-472-7570
Mailing Address - Street 1:900 JORIE BLVD
Mailing Address - Street 2:SUITE # 101 A
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2213
Mailing Address - Country:US
Mailing Address - Phone:630-920-1410
Mailing Address - Fax:
Practice Address - Street 1:900 JORIE BLVD
Practice Address - Street 2:SUITE # 101 A
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2213
Practice Address - Country:US
Practice Address - Phone:630-472-7570
Practice Address - Fax:630-472-7571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL5668410001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5668410001Medicare NSC