Van Driels Medical Support Wear Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VAN DRIELS MEDICAL SUPPORT WEAR CO

Practice address

720 E Northwest Hwy
Mt Prospect, IL 60056-3442

Phone

(847) 253-6494

Fax

(847) 253-1028

NPI assigned

Aug 3, 2006

Last updated

Jan 23, 2008By 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

Ms. Claudia M Boyle

Title

President

Phone

(847) 253-6494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These 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

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1174531685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E NORTHWEST HWY",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563442",
            "telephone_number": "847-253-6494",
            "fax_number": "847-253-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E NORTHWEST HWY",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563442",
            "telephone_number": "847-253-6494",
            "fax_number": "847-253-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DRIELS MEDICAL SUPPORT WEAR CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-253-6494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uropartners, LLC
• Uropartners, LLC
• Mourette Valcin
• Jennifer Marie Van Blake, MHS-CCC-SLP
• Van Driel's Drug Store (vandriel's medical surgical supply)
• James Edward Vanderbosch Jr., PSY.D.
• Lindy Vandersteeg, B.A., M.A., LPC
• Rockie Vanga, APN
• Jaison Varghese, PHARM.D
• Sara Vasilev, LCSW

• Durable Medical Equipment & Medical Supplies in Mount Prospect, IL
• Providers in Mount Prospect, 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 Jan 23, 2008; 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.

Verify at the official NPI Registry.