Organization Name: | GABACHIEF MEDICAL INC |
NPI Number: | 1417380106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN J COSTELLO (CEO) |
Mailing Address: | 4916 N Crescent Ave Norridge |
State: | IL US |
Postal Code: | 607063108 |
Phone Number: | 7084200063 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 10/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 203.001595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |