Koronell Enterprises Inc

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

License

203.000874 Issued in IL

Legal business name

KORONELL ENTERPRISES INC

Doing business as

Care Medical Supply and Transportation

Practice address

601 N Williams St
B-1
Thornton, IL 60476-1097

Phone

(708) 316-5222

Fax

(708) 316-5220

NPI assigned

Feb 14, 2007

Last updated

Feb 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nellie N Akomas-Ikoro

Title

President/Ceo

Phone

(708) 316-5222

Specialties & licenses 1

Addresses

Other names 1

• Care Medical Supply and Transportation Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1124161633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N WILLIAMS ST",
            "address_2": "B-1",
            "city": "THORNTON",
            "state": "IL",
            "postal_code": "604761097",
            "telephone_number": "708-316-5222",
            "fax_number": "708-316-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N WILLIAMS ST",
            "address_2": "B-1",
            "city": "THORNTON",
            "state": "IL",
            "postal_code": "604761097",
            "telephone_number": "708-316-5222",
            "fax_number": "708-316-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORONELL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "AKOMAS-IKORO",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-316-5222"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "IL",
            "license": "203.000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Medical Supply and Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.