Provider Demographics
NPI:1386918936
Name:DME ACCESS LLC
Entity type:Organization
Organization Name:DME ACCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CREATURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-892-7400
Mailing Address - Street 1:1717 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-1233
Mailing Address - Country:US
Mailing Address - Phone:630-892-7400
Mailing Address - Fax:630-892-7401
Practice Address - Street 1:9016 58TH PL STE 400
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-7814
Practice Address - Country:US
Practice Address - Phone:262-605-1300
Practice Address - Fax:262-605-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL 02838332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment