Organization Active NPI

Medical Products Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dixon, IL
National Provider Identifier
1023596012
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL PRODUCTS GROUP, LLC
Practice address
641 Palmyra Rd
Dixon, IL 61021-9139
Phone
(815) 284-9771
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Dr. Osawaru Omoruyi, MD
Title
Owner
Phone
(630) 462-6770

Specialties & licenses 1

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

Addresses

Primary practice location

641 Palmyra Rd
Dixon, IL 61021-9139

Mailing address

PO Box 43842
Louisville, KY 40253-0842
Phone (630) 462-6770

Other names 1

  • Family Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1023596012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43842",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530842",
            "telephone_number": "630-462-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 PALMYRA RD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219139",
            "telephone_number": "815-284-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRODUCTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "OMORUYI",
        "authorized_official_first_name": "OSAWARU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-462-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.