Provider Demographics
NPI:1649410366
Name:ACURA MEDICAL EQUIPMENT & SUPPLIES INC
Entity Type:Organization
Organization Name:ACURA MEDICAL EQUIPMENT & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIZWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUBARIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-462-9661
Mailing Address - Street 1:14423 EDISON DR
Mailing Address - Street 2:STE B
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-4011
Mailing Address - Country:US
Mailing Address - Phone:815-462-9661
Mailing Address - Fax:
Practice Address - Street 1:14423 EDISON DR
Practice Address - Street 2:STE B
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-4012
Practice Address - Country:US
Practice Address - Phone:815-462-9661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-21
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6353450001Medicare NSC