Provider Demographics
NPI:1841241858
Name:REMCO MEDICAL, INC.
Entity Type:Organization
Organization Name:REMCO MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-744-4600
Mailing Address - Street 1:2313 OAK LEAF ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60436-1010
Mailing Address - Country:US
Mailing Address - Phone:815-744-4600
Mailing Address - Fax:815-744-4656
Practice Address - Street 1:2313 OAK LEAF ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60436-1010
Practice Address - Country:US
Practice Address - Phone:815-744-4600
Practice Address - Fax:815-744-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9970392OtherBCBS PROVIDER NUMBER
IL=========002Medicaid
IL0527400001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER