Provider Demographics
NPI:1568417319
Name:ABSOLUTE MEDICAL, INC.
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAPINE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:888-214-4100
Mailing Address - Street 1:1843 W HUBBARD ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-6236
Mailing Address - Country:US
Mailing Address - Phone:888-214-4100
Mailing Address - Fax:877-877-8168
Practice Address - Street 1:1843 W HUBBARD ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-6236
Practice Address - Country:US
Practice Address - Phone:888-214-4100
Practice Address - Fax:877-877-8168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006560332BC3200X
IL203.001057332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101845649001Medicaid
IN200883750AMedicaid
PA101845649001Medicaid