Provider Demographics
NPI:1013075597
Name:IMPROMED INC
Entity Type:Organization
Organization Name:IMPROMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EYAEMA
Authorized Official - Middle Name:EKENG
Authorized Official - Last Name:AANAMNDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-957-3300
Mailing Address - Street 1:17901 GOVERNORS HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1144
Mailing Address - Country:US
Mailing Address - Phone:708-957-3300
Mailing Address - Fax:708-957-3385
Practice Address - Street 1:17901 GOVERNORS HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1144
Practice Address - Country:US
Practice Address - Phone:708-957-3300
Practice Address - Fax:708-957-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-04-11
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
IL5371320001Medicare NSC