| Organization Name: | CLASSIC MEDICAL INCORPORATED |
| NPI Number: | 1366556847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORM ATKINS (PRESIDENT) |
| Mailing Address: | 2000 Bloomingdale Rd Suite 220 Glendale Heights |
| State: | IL US |
| Postal Code: | 601392100 |
| Phone Number: | 6308250157 |
| Fax Number: | 8887339301 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203-000825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |