NPI 1023426756

Universe Optimax INC

Organisation Nursing Facility Supplies (DME) Morton Grove, IL

Practice location

Address: 5632 Dempster St, Morton Grove, IL 60053-3100
Phone: (847) 414-5001
Fax: (877) 578-0906
Mailing address: PO Box 162, Morton Grove, IL 60053-0162

Authorised official

Name: Johnny Hom
Title: Owner
Phone: (847) 414-5001

Registered specialties

Nursing Facility Supplies (DME) Primary

Suppliers Taxonomy 332BN1400X

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Registry record

NPI: 1023426756
Entity type: Organization
NPI issued: 25 Jul 2014
Record last updated: 26 Aug 2014

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.