Provider Demographics
NPI:1689840563
Name:A PLUS
Entity type:Organization
Organization Name:A PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-217-0295
Mailing Address - Street 1:799 ROOSEVELT RD
Mailing Address - Street 2:BUILDING 3, ROOM 104C
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5908
Mailing Address - Country:US
Mailing Address - Phone:630-545-0433
Mailing Address - Fax:630-545-0433
Practice Address - Street 1:799 ROOSEVELT RD
Practice Address - Street 2:BUILDING 3, ROOM 104C
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5908
Practice Address - Country:US
Practice Address - Phone:630-545-0433
Practice Address - Fax:630-545-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1771033332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5595070001OtherNATIONAL GOVERNMENT SERVICES
IL5595070001OtherNATIONAL GOVERNMENT SERVICES