Provider Demographics
NPI:1770109951
Name:SUPERIOR MEDICAL SOLUTIONS INC.
Entity type:Organization
Organization Name:SUPERIOR MEDICAL SOLUTIONS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAR
Authorized Official - Middle Name:RASHAWN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-433-4187
Mailing Address - Street 1:1400 SUNSET AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60087-4806
Mailing Address - Country:US
Mailing Address - Phone:847-461-4344
Mailing Address - Fax:847-461-4344
Practice Address - Street 1:1400 SUNSET AVE STE 5
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60087-4806
Practice Address - Country:US
Practice Address - Phone:847-461-4344
Practice Address - Fax:847-461-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)