MEDSOURCE LLC NPI 1730354531

NPI Information

MEDSOURCE LLC is a durable medical equipment medical supplies in Chicago, 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. MEDSOURCE LLC NPI is 1730354531. The provider is registered as an organization entity type.

The provider's business location address is:

700 N SACRAMENTO BLVD
STE 120
CHICAGO, IL
ZIP 60612
Phone: (773) 265-7670
Fax: (773) 265-7674

The provider's authorized official is Eric Rohde .
The authorized official title is Owner and has the following contact phone number (309) 664-7930.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 2/1/2021.

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:

Other Identifiers

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