Provider Demographics
NPI:1740040161
Name:RELIANT DME LLC
Entity type:Organization
Organization Name:RELIANT DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-597-5320
Mailing Address - Street 1:333 N RANDALL RD STE 107
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-1500
Mailing Address - Country:US
Mailing Address - Phone:630-597-5320
Mailing Address - Fax:
Practice Address - Street 1:333 N RANDALL RD STE 107
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-1500
Practice Address - Country:US
Practice Address - Phone:630-597-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies