NPI 1023395381

Provida Medical Supply, INC.

Organisation Oxygen Equipment & Supplies (DME) Mundelein, IL

Practice location

Address: 333 Il-83 STE 206, Mundelein, IL 60060-3117
Phone: (847) 918-8085
Fax: (847) 881-0301

Authorised official

Name: Luda Troyak
Title: President
Phone: (847) 918-8085

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X Licence 203001360 (IL)

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Registry record

NPI: 1023395381
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 10 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.