Aosta Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AOSTA SUPPLY, LLC

Practice address

3347 N Clark St Unit C
Chicago, IL 60657-1149

Phone

(773) 698-8552

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Mohan Gounder

Title

Manager

Phone

(773) 698-8552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Dahmus Gounder, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1508008152
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1013158104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 N CLARK ST UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571149",
            "telephone_number": "773-698-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 N CLARK ST UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571149",
            "telephone_number": "773-698-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOSTA SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "GOUNDER",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-698-8552"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.