Basic Information
| Provider Information | |||||||||
| NPI: | 1962462150 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | QUALITY MEDICAL SERVICES, INC | ||||||||
| LastName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | ALPHA NURSING SERVICE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1952 MCDOWELL ROAD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605636505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309225742 | ||||||||
| FaxNumber: | 6309222570 | ||||||||
| Practice Location | |||||||||
| Address1: | 1952 MCDOWELL ROAD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605636505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309225742 | ||||||||
| FaxNumber: | 6309222570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2006 | ||||||||
| LastUpdateDate: | 04/20/2008 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | LEHMAN | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6309225742 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 2006-N0529 | Y | Agencies | Home Health |
No ID Information.