Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provida Medical Supply, Inc

Organization Oxygen Equipment & Supplies (DME) · NPI 1023395381

Provida Medical Supply, Inc is an Oxygen Equipment & Supplies (DME) in Mundelein, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 IL-83 Ste 206
Mundelein, IL 60060-3117
Phone: (847) 918-8085
Fax: (847) 881-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence 203001360 (IL)

Record details

NPI number1023395381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luda Troyak — President · (847) 918-8085
NPI enumeratedNovember 14, 2011
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address333 Il-83 Ste 206, Mundelein, IL 60060-3117

Other providers in Mundelein