Provider Demographics
NPI:1083435531
Name:MEDICAL SUPPLIES AND SERVICES, INC
Entity type:Organization
Organization Name:MEDICAL SUPPLIES AND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:NAEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-822-7520
Mailing Address - Street 1:3351 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1722
Mailing Address - Country:US
Mailing Address - Phone:773-822-7520
Mailing Address - Fax:
Practice Address - Street 1:7080 N MCCORMICK BLVD STE W19G
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-2711
Practice Address - Country:US
Practice Address - Phone:773-822-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies