Ritz Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000510 Issued in IL

Legal business name

RITZ MEDICAL SUPPLIES, INC

Practice address

22113 Governors Hwy
Richton Park, IL 60471-1249

Phone

(708) 283-4800

Fax

(708) 283-4667

NPI assigned

Jul 4, 2006

Last updated

Oct 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Etukudo

Title

Administrative Director

Phone

(708) 283-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1043240955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22113 GOVERNORS HWY",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711249",
            "telephone_number": "708-283-4800",
            "fax_number": "708-283-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22113 GOVERNORS HWY",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711249",
            "telephone_number": "708-283-4800",
            "fax_number": "708-283-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITZ MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "ETUKUDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "708-283-4800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0001630364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Richton Park, IL
• Providers in Richton Park, 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 Oct 23, 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.