Organization Name: | ADVANCED RESPIRATORY SUPPLY |
NPI Number: | 1053424085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEIB TWERSKI (OWNER) |
Mailing Address: | 3359 Main St Skokie |
State: | IL US |
Postal Code: | 600762432 |
Phone Number: | 8476793329 |
Fax Number: | 8476794765 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 03/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 12553855 |
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 |