VICTORY MEDICAL SUPPLY INC

Restricted

VICTORY MEDICAL SUPPLY INC is subject to Restricted. See the individual lists below.

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Country

United States

Addresses

Address 1 : 8156 S COTTAGE GROVE AVE , CHICAGO , Illinois , United States , 60619

Address 2 : P O BOX 1066

Address 3 : 8556 S. ASHLAND AVE

Address 4 : P O BOX 1066 , DOLTON , Illinois , United States , 60419

ID Details

ID NUMBER : 1245375179.0

ID TYPE : NPI

ID NUMBER : S4MR4K5RT

ID TYPE : SAM Number

ID NUMBER : 1245375179

ID TYPE : NPI

ID NUMBER : S4MR2LBXP

ID TYPE : SAM Number

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VICTORY MEDICAL SUPPLY INC Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
U.S. General Services Administration (GSA) Parties Excluded	U.S. General Services Administration (GSA)	Aug 26, 2015	active
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Feb 19, 2015	active
Provider Sanctions List by Illinois Department of Healthcare and Family Services	The Illinois Department of Healthcare and Family Services	Jan 4, 2014	active