Itac Medical Supply Company, Llc
Durable Medical Equipment & Medical Supplies
5113 S. Harper Ave, Ste. 2c, Chicago
Illinois, 60615
312-340-8826 Itac Medical Supply Company, Llc is a Durable Medical Equipment & Medical Supplies in Chicago, Illinois. It is located at 5113 S. Harper Ave, Ste. 2c, Chicago and it's customer support contact number is 312-340-8826. The authorized person of Itac Medical Supply Company, Llc is Chiquita Lee who is Ceo of this DME and his contact number is 312-340-8826. Itac Medical Supply Company, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Itac Medical Supply Company, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Itac Medical Supply Company, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Itac Medical Supply Company, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 5113 S. Harper Ave, Ste. 2c, Chicago,
Illinois, 60615 |
| Phone: | 312-340-8826 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Chiquita Lee |
| Position: | Ceo |
| Contact Number: | 312-340-8826 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1386132520 |
| NPI Enumeration Date: | 24 Apr, 2018 |
| NPI Last Update On: | 18 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Itac Medical Supply Company, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Nursing Facility Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ========= | Other | | Dme |
Medicare Enrollment:
Itac Medical Supply Company, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9638544612 | O20230404002282 | Itac Medical Supply Company, Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9449 S Kedzie Ave Ste 357,
Evergreen Park, Illinois |
| Zip: | 60805-2325 |
| Phone Number: | 312-340-8826 |
Patients can reach Itac Medical Supply Company, Llc at
5113 S. Harper Ave, Ste. 2c, Chicago, Illinois or can
call on customer care at 312-340-8826.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.