NPIMap

Organization Active NPI

Chicagoland Ad Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1063647329
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHICAGOLAND AD MEDICAL INC
Practice address
1525 W Homer St
#301
Chicago, IL 60642-1280
Phone
(773) 292-1940
Fax
(773) 292-1939
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Mr. David Krause
Title
President
Phone
(773) 292-1940

Specialties & licenses 1

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

Addresses

Primary practice location

1525 W Homer St
#301
Chicago, IL 60642-1280

Mailing address

1525 W Homer St
#301
Chicago, IL 60642-1280

National Provider Directory

National Provider Directory

Locations

1525 W Homer St
Ste 301
Chicago, IL 60642
Phone (773) 292-1940

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1063647329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "address_2": "#301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "address_2": "#301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421280",
            "telephone_number": "773-292-1940",
            "fax_number": "773-292-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND AD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-1940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.