Organization Name: | DRUG SOURCE INC |
NPI Number: | 1669670667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEAN L BARTELLO (PRESIDENT, CEO) |
Mailing Address: | 2020 Lunt Ave Elk Grove Village |
State: | IL US |
Postal Code: | 600075606 |
Phone Number: | 8472581920 |
Fax Number: | 8472581914 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 054016204 |
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 |