Provider Demographics
NPI:1114601291
Name:DME DIRECT INC
Entity type:Organization
Organization Name:DME DIRECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:WEIL
Authorized Official - Last Name:OGBOLUMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-933-5241
Mailing Address - Street 1:4711 GOLF RD STE 702
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1245
Mailing Address - Country:US
Mailing Address - Phone:312-933-5241
Mailing Address - Fax:312-940-8911
Practice Address - Street 1:4711 GOLF RD STE 702
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1245
Practice Address - Country:US
Practice Address - Phone:312-933-5241
Practice Address - Fax:312-940-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies