Provider Demographics
NPI:1750423760
Name:A PLUS MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:A PLUS MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-800-0432
Mailing Address - Street 1:224 BRETT CIR
Mailing Address - Street 2:UNIT B
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-1590
Mailing Address - Country:US
Mailing Address - Phone:224-305-6509
Mailing Address - Fax:847-855-2928
Practice Address - Street 1:224 BRETT CIR
Practice Address - Street 2:UNIT B
Practice Address - City:WAUCONDA
Practice Address - State:IL
Practice Address - Zip Code:60084-1590
Practice Address - Country:US
Practice Address - Phone:224-305-6509
Practice Address - Fax:847-855-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000612332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932418OtherBCBS
IL=========OtherUNITED HEALTH CARE
IL=========001Medicaid
IL5127950001Medicare NSC