Organization Name: | ACE MEDICAL SUPPLY LLC |
NPI Number: | 1023133113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNGCHUL C KANG (GENERAL PARTNER) |
Mailing Address: | 7515 N Milwaukee Ave Niles |
State: | IL US |
Postal Code: | 607143621 |
Phone Number: | 8476647859 |
Fax Number: | 8478906383 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |