Custom Med, Llc

LBN: Custom Med, Llc
Custom Med, Llc is an health care organization with primary practice located at 3156 N. Clark , Chicago IL 60657. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Custom Med, Llc can be contacted via phone (773) 568-8340, or through Dahabra, Inas via phone (708) 289-6721.

Contact Information

Primary practice address
3156 N. Clark Chicago IL 60657
Phone: (773) 568-8340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahabra, Inas
Phone: (708) 289-6721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1700636271
LBN Legal business name Custom Med, Llc
DBA Doing business as
Authorized official Dahabra, Inas
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2024
Last updated Mar 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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