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FASTRACK MEDICAL SUPPLIESINC. NPI 1497948517


NPI Information

NPI: 1497948517
Provider Name: FASTRACK MEDICAL SUPPLIES,INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7301 N LINCOLN AVE
SUITE 215
LINCOLNWOOD, IL
ZIP 60712
Phone: (847) 982-9440
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FASTRACK MEDICAL SUPPLIES,INC. is a durable medical equipment medical supplies in Lincolnwood, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FASTRACK MEDICAL SUPPLIES,INC. NPI is 1497948517. The provider is registered as an organization entity type.

The provider's business location address is:

7301 N LINCOLN AVE
SUITE 215
LINCOLNWOOD, IL
ZIP 60712-735
Phone: (847) 982-9440
Fax: (847) 982-9442

The provider's authorized official is Henry Balbon Rara .
The authorized official title is President and has the following contact phone number (847) 982-9440.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 3/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15985130001MEDICARE NSCILLINOIS
2=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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