NPIMap

Organization Active NPI

American Medical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1194874800
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN MEDICAL SUPPLY CO.
Practice address
456 E 75TH St
Chicago, IL 60619-2229
Phone
(773) 371-0067
Fax
(773) 371-0097
NPI assigned
Jan 10, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ibe Nwosu
Title
President
Phone
(773) 936-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

456 E 75TH St
Chicago, IL 60619-2229

Mailing address

456 E 75TH St
Chicago, IL 60619-2229
Phone (773) 371-0067

Other identifiers 1

IdentifierTypeStateIssuer
01635415OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

456 E 75th St
Chicago, IL 60619
Phone (773) 371-0067

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194874800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192229",
            "telephone_number": "773-371-0067",
            "fax_number": "773-371-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192229",
            "telephone_number": "773-371-0067",
            "fax_number": "773-371-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "IBE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-936-5211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.