Provider Demographics
NPI:1851980916
Name:PRIDE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:PRIDE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULKADER
Authorized Official - Middle Name:
Authorized Official - Last Name:ATASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-420-0170
Mailing Address - Street 1:17W727 BUTTERFIELD RD STE G
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4278
Mailing Address - Country:US
Mailing Address - Phone:630-519-5421
Mailing Address - Fax:
Practice Address - Street 1:17W727 BUTTERFIELD RD STE G
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4278
Practice Address - Country:US
Practice Address - Phone:630-519-5421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health