Organization Active NPI

Guardian Business Group

Doing business as DBA AIDC Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Seneca, IL
National Provider Identifier
1073783775
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GUARDIAN BUSINESS GROUP
Doing business as
DBA AIDC Medical Supply
Practice address
3742 E 29TH Rd
Seneca, IL 61360
Phone
(815) 695-5177
Fax
(815) 695-5102
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ms. Robin Vance Pelfrey
Title
President
Phone
(815) 695-5177

Specialties & licenses 1

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

Addresses

Primary practice location

3742 E 29TH Rd
Seneca, IL 61360

Mailing address

519 E Harrison Ave
Wheaton, IL 60187
Phone (815) 695-5177

Other names 1

  • DBA AIDC Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1073783775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E HARRISON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "815-695-5177",
            "fax_number": "815-695-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 E 29TH RD",
            "city": "SENECA",
            "state": "IL",
            "postal_code": "61360",
            "telephone_number": "815-695-5177",
            "fax_number": "815-695-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN BUSINESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "PELFREY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-695-5177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA AIDC Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.