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REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLYINC. NPI 1760476618


NPI Information

NPI: 1760476618
Provider Name: REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11736 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 445-7482
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REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC. 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. REHABILITATIVE PRODUCTS & NUTRITIONAL SUPPLY,INC. NPI is 1760476618. The provider is registered as an organization entity type.

The provider's business location address is:

11736 S WESTERN AVE
CHICAGO, IL
ZIP 60643-732
Phone: (773) 445-7482
Fax: (773) 445-7522

The provider's authorized official is Keith D. Carter .
The authorized official title is General Manager and has the following contact phone number (773) 445-7470.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 8/22/2008.


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
1332B00000XDurable 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
14491410001MEDICARE 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: 11/14/2023

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