Provider Demographics
NPI:1851487714
Name:ABSOLUTE MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERDYUKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-229-0199
Mailing Address - Street 1:724 S MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6202
Mailing Address - Country:US
Mailing Address - Phone:847-229-0199
Mailing Address - Fax:847-947-4001
Practice Address - Street 1:724 S MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-6202
Practice Address - Country:US
Practice Address - Phone:847-229-0199
Practice Address - Fax:847-947-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies