Provider Demographics
NPI:1194060087
Name:THRIFT MEDICAL PRODUCTS
Entity type:Organization
Organization Name:THRIFT MEDICAL PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEDESMA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:630-473-5590
Mailing Address - Street 1:29 W ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9258
Mailing Address - Country:US
Mailing Address - Phone:630-473-5590
Mailing Address - Fax:630-800-1955
Practice Address - Street 1:29 W ANCHOR DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-9258
Practice Address - Country:US
Practice Address - Phone:630-473-5590
Practice Address - Fax:630-800-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies