Provider Demographics
NPI:1891231049
Name:GLOBAL MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:GLOBAL MEDICAL SERVICES LLC
Other - Org Name:GLOBAL MEDICAL SERVICES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:UDOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-460-8086
Mailing Address - Street 1:15420 S ROUTE 59 STE 108
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1997
Mailing Address - Country:US
Mailing Address - Phone:872-208-6171
Mailing Address - Fax:872-208-7390
Practice Address - Street 1:15420 S ROUTE 59 STE 108
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1997
Practice Address - Country:US
Practice Address - Phone:872-208-6171
Practice Address - Fax:872-208-7390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-12
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054.0201753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid