Provider Demographics
NPI:1700378569
Name:EDISON DME LTD
Entity Type:Organization
Organization Name:EDISON DME LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VITO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTIPILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-282-7818
Mailing Address - Street 1:416 HIGGINS RD STE A
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-5729
Mailing Address - Country:US
Mailing Address - Phone:708-667-0627
Mailing Address - Fax:773-774-5447
Practice Address - Street 1:416 HIGGINS RD STE A
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-5729
Practice Address - Country:US
Practice Address - Phone:708-667-0627
Practice Address - Fax:773-774-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies