Avmed Surgical Supply Group, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AVMED SURGICAL SUPPLY GROUP, INC

Practice address

960 Rand Rd
Suite 110
Des Plaines, IL 60016-2352

Phone

(847) 635-8900

Fax

(847) 635-8901

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Imran Mahmood

Title

Owner

Phone

(847) 635-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1083147052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RAND RD",
            "address_2": "SUITE 110",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-635-8900",
            "fax_number": "847-635-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAND RD",
            "address_2": "SUITE 110",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-635-8900",
            "fax_number": "847-635-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVMED SURGICAL SUPPLY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-635-8900",
        "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": []
}

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• Durable Medical Equipment & Medical Supplies in Des Plaines, IL
• Providers in Des Plaines, 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 Apr 6, 2017; 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.