NPIMap

Organization Active NPI

Medstream Corporation

  • Durable Medical Equipment & Medical Supplies
  • Northbrook, IL
National Provider Identifier
1205070810
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000513 Issued in IL
Legal business name
MEDSTREAM CORPORATION
Practice address
666 Dundee Rd
Suite 807
Northbrook, IL 60062-2727
Phone
(224) 406-8997
Fax
(224) 406-8998
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Mrs. Julia R Trosman, PHD
Title
President
Phone
(225) 619-2900

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000513 IL Primary
Customized Equipment (DME) 332BC3200X 203000513 IL
Dialysis Equipment & Supplies (DME) 332BD1200X 203000513 IL
Nursing Facility Supplies (DME) 332BN1400X 203000513 IL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 203000513 IL
Oxygen Equipment & Supplies (DME) 332BX2000X 203000513 IL

Addresses

Primary practice location

666 Dundee Rd
Suite 807
Northbrook, IL 60062-2727

Mailing address

666 Dundee Rd
Suite 807
Northbrook, IL 60062-2727
Phone (224) 406-8997

National Provider Directory

National Provider Directory

Locations

666 Dundee Rd
Ste 807
Northbrook, IL 60062
Phone (224) 406-8997

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1205070810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "SUITE 807",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "224-406-8997",
            "fax_number": "224-406-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "SUITE 807",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "224-406-8997",
            "fax_number": "224-406-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTREAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "TROSMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-619-2900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000513",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203000513",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "IL",
            "license": "203000513",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "203000513",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "203000513",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203000513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.