Provider Demographics
NPI:1689015422
Name:FIRMUS MEDICAL, LLC
Entity Type:Organization
Organization Name:FIRMUS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HURBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-640-1838
Mailing Address - Street 1:7646 PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5607
Mailing Address - Country:US
Mailing Address - Phone:855-558-9263
Mailing Address - Fax:630-559-8485
Practice Address - Street 1:7646 PLAZA CT
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5607
Practice Address - Country:US
Practice Address - Phone:855-558-9263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies