TBX Group of Industries LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TBX GROUP OF INDUSTRIES LLC

Doing business as

ILLINOIS MEDICAL SUPPLY

Practice address

1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575

Phone

(312) 722-6940

Fax

(888) 502-0521

NPI assigned

Nov 27, 2020

Organization subpart

No

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

Authorized official

Name

Abhishek GulatiNPI 1073129045

Title

Owner

Phone

(312) 752-7226

Specialties & licenses 2

Addresses

Other names 1

• ILLINOIS MEDICAL SUPPLY Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abhishek Gulati

  • Community Based Hospice Care Agency
  • Huntley, IL
  • NPI 1073129045
  NPD Authorized official

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1144824483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601563575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601563575",
            "telephone_number": "312-722-6940",
            "fax_number": "888-502-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBX GROUP OF INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "ABHISHEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-752-7226"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@TBXGOI.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "1110 N Main St",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601023482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ILLINOIS MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ILLINOIS MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel M Summerkamp, DC
• Donna Swanson, LSW
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• Syed S. Asghar M.D.P.C.
• Lori Tarchala
• Emily Tegtmeier
• The Foot Physicians LLC
• Mary Thiel
• Elizabeth Thompson, PSY.D.
• Jason Cory Tjaden, MD

• Clinical Medical Laboratory in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.