Provider Demographics
NPI:1902132079
Name:MONARCH MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:MONARCH MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEMWENGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-531-2524
Mailing Address - Street 1:12757 WESTERN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-2155
Mailing Address - Country:US
Mailing Address - Phone:708-629-0678
Mailing Address - Fax:708-629-0679
Practice Address - Street 1:12757 WESTERN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BLUE ISLAND
Practice Address - State:IL
Practice Address - Zip Code:60406-2155
Practice Address - Country:US
Practice Address - Phone:708-629-0678
Practice Address - Fax:708-629-0679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies