Organization Active NPI

RSS Wilmette LLC

  • Customized Equipment (DME)
  • Wilmette, IL
National Provider Identifier
1174014161
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
RSS WILMETTE LLC
Practice address
124 1/2 Skokie Blvd
Wilmette, IL 60091-3050
Phone
(817) 440-6060
Fax
(469) 466-6086
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Latisha Peoples
Title
Onboarding and Credentialing
Phone
(817) 440-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

124 1/2 Skokie Blvd
Wilmette, IL 60091-3050

Mailing address

1050 Texan TRL Ste 300
Grapevine, TX 76051-3759
Phone (817) 440-6060

National Provider Directory

National Provider Directory

Locations

124 Skokie Blvd
Wilmette, IL 60091
Phone (224) 215-3375

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1174014161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEXAN TRL STE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513759",
            "telephone_number": "817-440-6060",
            "fax_number": "469-466-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 1/2 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913050",
            "telephone_number": "817-440-6060",
            "fax_number": "469-466-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS WILMETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "ONBOARDING AND CREDENTIALING",
        "authorized_official_telephone_number": "817-440-6060"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.