Provider Demographics
NPI:1841433877
Name:CHICAGOLAND MEDICAL EQUIPMENT AND SUPPLY COMPANY
Entity type:Organization
Organization Name:CHICAGOLAND MEDICAL EQUIPMENT AND SUPPLY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-409-8450
Mailing Address - Street 1:1017 LUNT AVE
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4418
Mailing Address - Country:US
Mailing Address - Phone:847-409-8450
Mailing Address - Fax:847-478-9192
Practice Address - Street 1:1017 LUNT AVE
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4418
Practice Address - Country:US
Practice Address - Phone:847-409-8450
Practice Address - Fax:847-478-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3944-0834332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies