Itac Medical Supply Company, Llc

LBN: Itac Medical Supply Company, Llc
Itac Medical Supply Company, Llc is an health care organization with primary practice located at 9449 S Kedzie Ave Ste 357 , Evergreen Park IL 60805-2325. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Itac Medical Supply Company, Llc can be contacted via phone (312) 340-8826, or through Lee, Chiquita via phone (312) 340-8826.

Contact Information

Primary practice address
9449 S Kedzie Ave Ste 357 Evergreen Park IL 60805-2325
Phone: (312) 340-8826
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Chiquita
Phone: (312) 340-8826

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1386132520
LBN Legal business name Itac Medical Supply Company, Llc
DBA Doing business as
Authorized official Lee, Chiquita
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2018
Last updated Dec 8th, 2021 - about 3 years ago

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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