Organization Active NPI

DME Direct Inc

  • Durable Medical Equipment & Medical Supplies
  • Skokie, IL
National Provider Identifier
1114601291
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DME DIRECT INC
Practice address
4711 Golf Rd Ste 702
Skokie, IL 60076-1245
Phone
(312) 933-5241
Fax
(312) 940-8911
NPI assigned
Jun 9, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mrs. Lacey Weil Ogbolumani
Title
Chief Executive Officer
Phone
(312) 933-5241

Specialties & licenses 1

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

Addresses

Primary practice location

4711 Golf Rd Ste 702
Skokie, IL 60076-1245

Mailing address

4711 Golf Rd Ste 702
Skokie, IL 60076-1245
Phone (312) 933-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405000589 IL DME Supplier - Medical Supply Company 4183062474 Practice locations: Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DME Direct Inc4711 Golf Rd, Skokie, IL 60076-1245(312) 933-5241 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Manual)|Infrared Heating … Accepts assignmentParticipating since Apr 5, 2024

National Provider Directory

National Provider Directory

Locations

4711 Golf Rd
Ste 702
Skokie, IL 60076
Phone 31258573771

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1114601291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 702",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761245",
            "telephone_number": "312-933-5241",
            "fax_number": "312-940-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 702",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761245",
            "telephone_number": "312-933-5241",
            "fax_number": "312-940-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME DIRECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "OGBOLUMANI",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "WEIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-933-5241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.