Provider Demographics
NPI:1952940058
Name:ALEXANDER'S MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ALEXANDER'S MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIWA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:847-752-4262
Mailing Address - Street 1:8052 MONTICELLO AVE # 209
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3438
Mailing Address - Country:US
Mailing Address - Phone:847-752-4262
Mailing Address - Fax:847-906-8565
Practice Address - Street 1:8052 MONTICELLO AVE # 209
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3438
Practice Address - Country:US
Practice Address - Phone:847-752-4262
Practice Address - Fax:847-906-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies