Provider Demographics
NPI:1720075922
Name:SAI MEDICAL INC
Entity Type:Organization
Organization Name:SAI MEDICAL INC
Other - Org Name:A2Z MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-410-2060
Mailing Address - Street 1:303 E NORTH AVE LOWR 100
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60164-2699
Mailing Address - Country:US
Mailing Address - Phone:708-410-2060
Mailing Address - Fax:855-515-6200
Practice Address - Street 1:303 E NORTH AVE LOWR 100
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-2699
Practice Address - Country:US
Practice Address - Phone:708-410-2060
Practice Address - Fax:855-515-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000431332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL4732640001Medicare NSC
IL=========001Medicaid