Organization Active NPI

Elmhurst Memorial Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Lombard, IL
National Provider Identifier
1013102086
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELMHURST MEMORIAL HEALTHCARE
Practice address
130 S Main St
Lombard, IL 60148-2670
Phone
(630) 834-1120
Fax
(630) 993-5681
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Donald R Lurye, MD
Title
Ceo
Phone
(630) 993-5676

Specialties & licenses 1

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

Addresses

Primary practice location

130 S Main St
Lombard, IL 60148-2670

Mailing address

130 S Main St
Lombard, IL 60148-2670
Phone (630) 834-1120

Other identifiers 1

IdentifierTypeStateIssuer
2215149OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1013102086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-834-1120",
            "fax_number": "630-993-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-834-1120",
            "fax_number": "630-993-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST MEMORIAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "LURYE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-993-5676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2215149",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.