Provider Demographics
NPI: | 1073733598 |
---|---|
Name: | APMS MEDICAL, LTD. |
Entity type: | Organization |
Organization Name: | APMS MEDICAL, LTD. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | PETER |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | POLLACHEK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 708-895-9450 |
Mailing Address - Street 1: | 18221 TORRENCE AVE |
Mailing Address - Street 2: | SUITE 1C |
Mailing Address - City: | LANSING |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60438-2870 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 708-895-9450 |
Mailing Address - Fax: | 708-895-9455 |
Practice Address - Street 1: | 18221 TORRENCE AVE |
Practice Address - Street 2: | SUITE 1C |
Practice Address - City: | LANSING |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60438-2870 |
Practice Address - Country: | US |
Practice Address - Phone: | 708-895-9450 |
Practice Address - Fax: | 708-895-9455 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-26 |
Last Update Date: | 2013-04-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |