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Itac Medical Supply Company, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Evergreen Park, Illinois
NPI 1386132520

Itac Medical Supply Company, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Evergreen Park, IL and is specialized in Parenteral & Enteral Nutrition. Itac Medical Supply Company, Llc practices in Evergreen Park, IL. The NPI Number for Itac Medical Supply Company, Llc is 1386132520 and holds a License No. (Illinois).

The current practice location address for Itac Medical Supply Company, Llc is 9449 S Kedzie Ave Ste 357, Evergreen Park, IL and can be reached out via phone at 312-340-8826.

Location: 9449 S Kedzie Ave Ste 357, Evergreen Park, IL, 60805-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386132520
Provider Name
Itac Medical Supply Company, Llc
Credential
Provider Entity Type
Organization
Address
9449 S Kedzie Ave Ste 357, Evergreen Park, IL, 60805-2325
Phone Number
312-340-8826
Fax Number
Provider Enumeration Date
04/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9449 S Kedzie Ave Ste 357
City
Evergreen Park
State
Illinois
Zip
60805-2325
Phone Number
312-340-8826
Fax Number
person
Provider Business Mailing Address Details
Address
9449 S Kedzie Ave Ste 357
City
Evergreen Park
State
Illinois
Zip
60805-2325
Phone Number
312-340-8826
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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