Crossroads Medical Supply,Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CROSSROADS MEDICAL SUPPLY,INC.

Practice address

205 W Joliet Hwy
205 W. Joliet Hwy.
New Lenox, IL 60451-2111

Phone

(815) 791-6644

NPI assigned

Oct 13, 2009

Last updated

Oct 13, 2009By 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

Patrick J Flynn

Title

Vice President

Phone

(815) 791-6644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1154656916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "address_2": "205 W. JOLIET HWY.",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604510275",
            "telephone_number": "815-791-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W JOLIET HWY",
            "address_2": "205 W. JOLIET HWY.",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512111",
            "telephone_number": "815-791-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS MEDICAL SUPPLY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "815-791-6644"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross D Coolidge, DO
• Allison Paige Coulson, CF-SLP
• Joan M Covault, DO
• Alexandra Leah Cranmer
• Maya Crawford, NP
• Ma Junica Crown
• Ria Anne Vierneza Cruz, FNP-BC
• Sarah Cupp, FNP
• Colleen B Curry, CD (DONA)
• Michael Curulewski

• Durable Medical Equipment & Medical Supplies in New Lenox, IL
• Providers in New Lenox, 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 Oct 13, 2009; 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.