Organization Active NPI

Service Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Downers Grove, IL
National Provider Identifier
1003812777
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000568 Issued in IL
Legal business name
SERVICE MEDICAL EQUIPMENT, INC
Practice address
5017 Chase Ave
Downers Grove, IL 60515-4014
Phone
(888) 848-1900
Fax
(630) 789-3375
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bonnie T Scilingo
Title
President
Phone
(888) 848-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000568 IL Primary

Addresses

Primary practice location

5017 Chase Ave
Downers Grove, IL 60515-4014

Mailing address

PO Box 266
Westmont, IL 60559-0266
Phone (888) 848-1900

Other identifiers 2

IdentifierTypeStateIssuer
215838800OtherILDEPT OF LABOR
01671321OtherIDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5017 Chase Ave
Downers Grove, IL 60515
Phone (630) 324-4242

2848 Hitchcock Ave
Downers Grove, IL 60515
Phone (630) 324-4242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1003812777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590266",
            "telephone_number": "888-848-1900",
            "fax_number": "630-324-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 CHASE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154014",
            "telephone_number": "888-848-1900",
            "fax_number": "630-789-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SCILINGO",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-848-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "215838800",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01671321",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.