Organization Name: | GENERATIONS AT ELMWOOD PARK, INC. |
NPI Number: | 1053316430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS WINTER (TREASURER) |
Mailing Address: | 7733 W Grand Ave Elmwood Park |
State: | IL US |
Postal Code: | 607071820 |
Phone Number: | 7084529200 |
Fax Number: | 7084529294 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | =========801 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |