Provider Demographics
NPI:1548494446
Name:PEERLESS MEDICAL SUPPLY, INC
Entity type:Organization
Organization Name:PEERLESS MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-433-6470
Mailing Address - Street 1:1247 LYNN TER
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1030
Mailing Address - Country:US
Mailing Address - Phone:847-433-6470
Mailing Address - Fax:847-433-6470
Practice Address - Street 1:1247 LYNN TER
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1030
Practice Address - Country:US
Practice Address - Phone:847-433-6470
Practice Address - Fax:847-433-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies