Life Star Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE STAR MEDICAL SUPPLIES

Practice address

2308 Poets LN
Algonquin, IL 60102-6650

Phone

(708) 267-6020

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roman Marczewski

Title

President

Phone

(708) 267-6020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1023053717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 POETS LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 POETS LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026650",
            "telephone_number": "708-267-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAR MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MARCZEWSKI",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-267-6020",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• Elvie J Lenth, PT
• Stephanie Nicole Leverentz, PA-C
• Lifestar Medicar
• Patricia Lingo, LCSW
• April A Lococo, LCPC
• Tina Loga, LCSW
• Lovebird Family Therapy PLLC

• Durable Medical Equipment & Medical Supplies in Algonquin, IL
• Providers in Algonquin, 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 Jan 8, 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.