Active NPI
DME Direct Inc
- Durable Medical Equipment & Medical Supplies
- Skokie, IL
National Provider Identifier
1114601291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240405000589 | IL | DME Supplier - Medical Supply Company | 4183062474 | Practice locations: Skokie, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| DME Direct Inc | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.