Provider Demographics
NPI:1679620496
Name:MEDSED, LLC.
Entity Type:Organization
Organization Name:MEDSED, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-252-0989
Mailing Address - Street 1:2525 N ELSTON AVE
Mailing Address - Street 2:C200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2000
Mailing Address - Country:US
Mailing Address - Phone:773-252-0989
Mailing Address - Fax:773-252-0979
Practice Address - Street 1:2525 N ELSTON AVE
Practice Address - Street 2:C200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2000
Practice Address - Country:US
Practice Address - Phone:773-252-0989
Practice Address - Fax:773-252-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies