Organization Name: | HARVEST MEDICAL SUPPLY, LTD |
NPI Number: | 1508812876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA E VALE (PRESIDENT) |
Mailing Address: | 1550 E. Higgins Rd. Ste #105 Elk Grove Village |
State: | IL US |
Postal Code: | 600071687 |
Phone Number: | 7738530901 |
Fax Number: | 7739303920 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1245812 |
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 |