Organization · Type 2 NPI
Provida Medical Supply, Inc.
Oxygen Equipment & Supplies (DME) · Mundelein, IL
NPI number
1023395381
Active
Practice location
333 IL-83 Ste 206
Mundelein, IL 60060-3117
Fax (847) 881-0301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 203001360 (IL) |
Oxygen Equipment & Supplies (DME): Definition to come...
Another provider at this address
Other oxygen equipment & supplies (dme) providers in Mundelein
About NPI 1023395381
Provida Medical Supply, Inc.'s National Provider Identifier is 1023395381, issued on Nov 14, 2011. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Mundelein, IL. The record was last updated on Nov 10, 2025.