OrganizationActive
St Agnes Medical Equipment Co Inc
NPI 1386860864 · Parenteral & Enteral Nutrition Supplies (DME) · Chicago, IL
Provider details
- NPI number
- 1386860864
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Peter O'Brien, Vice President(312) 787-9400
Specialties & taxonomies
Suppliers
Practice location
2540 S Wabash Ave
Chicago, IL 60616-2309
Phone: (312) 674-9494
Fax: (312) 674-9595
Approximate (ZIP-level) locationGet directions
Mailing address
1541 N Wells St
Chicago, IL 60610-1307
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.