Custom Med Plus

LBN: Custom Med, Llc
Custom Med Plus is an health care organization with primary practice located at 4312 N. Pulaski , Chicago IL 60641. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Custom Med, Llc can be contacted via phone (708) 289-6721, or through Dahabra, Inas via phone (708) 289-6721.

Contact Information

Primary practice address
4312 N. Pulaski Chicago IL 60641
Phone: (708) 289-6721
Fax: (779) 803-0170
Website:
Map and Directions
Authorized official contact:
Name: Dahabra, Inas
Phone: (708) 289-6721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1235781840
LBN Legal business name Custom Med, Llc
DBA Doing business as Custom Med Plus
Authorized official Dahabra, Inas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2019
Last updated Feb 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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