NPIMap

Organization Active NPI

Advanced Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wheeling, IL
National Provider Identifier
1003845884
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000531 Issued in IL
Legal business name
ADVANCED MEDICAL SUPPLY INC.
Practice address
81 S Milwaukee Ave
Ste a
Wheeling, IL 60090-3120
Phone
(847) 520-2500
Fax
(847) 520-2505
NPI assigned
Jul 2, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Oleg Kacherov
Title
President
Phone
(847) 520-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000531 IL Primary

Addresses

Primary practice location

81 S Milwaukee Ave
Ste a
Wheeling, IL 60090-3120

Mailing address

81 S Milwaukee Ave
Ste a
Wheeling, IL 60090-3120
Phone (847) 520-2500

National Provider Directory

National Provider Directory
Tax ID family
Advanced Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81 S Milwaukee Ave
Ste A
Wheeling, IL 60090
Phone (847) 520-2500

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1003845884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 S MILWAUKEE AVE",
            "address_2": "STE A",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903120",
            "telephone_number": "847-520-2500",
            "fax_number": "847-520-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S MILWAUKEE AVE",
            "address_2": "STE A",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903120",
            "telephone_number": "847-520-2500",
            "fax_number": "847-520-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KACHEROV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-520-2500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.