Provider Demographics
NPI:1851115869
Name:AMERICAN MED SUPPLY INC
Entity type:Organization
Organization Name:AMERICAN MED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-935-6966
Mailing Address - Street 1:1800 W HAWTHORNE LN STE P1
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-1842
Mailing Address - Country:US
Mailing Address - Phone:877-400-2601
Mailing Address - Fax:630-621-9107
Practice Address - Street 1:1800 W HAWTHORNE LN STE P1
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-1842
Practice Address - Country:US
Practice Address - Phone:877-400-2601
Practice Address - Fax:630-621-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies