Provider Demographics
NPI:1356123590
Name:NORTHSHORE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:NORTHSHORE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-745-0496
Mailing Address - Street 1:1734 GLENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2904
Mailing Address - Country:US
Mailing Address - Phone:847-627-6751
Mailing Address - Fax:
Practice Address - Street 1:1734 GLENVIEW RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2904
Practice Address - Country:US
Practice Address - Phone:630-745-0496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies