Active NPI
American Clinical Supplies LTD
- Durable Medical Equipment & Medical Supplies
- Skokie, IL
National Provider Identifier
1215264940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 004002512
- Legal business name
- AMERICAN CLINICAL SUPPLIES LTD
- Practice address
- 5301 Touhy Ave
Skokie, IL 60077-3247 - Phone
- (847) 722-1692
- Fax
- (847) 754-4991
- NPI assigned
- Nov 18, 2009
- Last updated
- May 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael B Younan
- Title
- President
- Phone
- (800) 399-9703
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 004002512 | IL | Primary |
| Specialty Pharmacy | 3336S0011X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
5301 Touhy Ave
Skokie, IL 60077-3247
Mailing address
5301 Touhy Ave
Skokie, IL 60077-3247
Phone (847) 722-1692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004002512 | Other | IL | DRUG DISTRIBUTOR LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- American Clinical Supplies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1952789398
Locations
5301 Touhy Ave
Skokie, IL 60077
Phone (847) 722-1692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304899200000",
"number": "1215264940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 TOUHY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773247",
"telephone_number": "847-722-1692",
"fax_number": "847-754-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 TOUHY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773247",
"telephone_number": "847-722-1692",
"fax_number": "847-754-4991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN CLINICAL SUPPLIES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2011-05-09",
"status": "A",
"authorized_official_last_name": "YOUNAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-399-9703"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "004002512",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG DISTRIBUTOR LICENSE",
"identifier": "004002512",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Amazing Family Resources
- Ambulatory Health Care Services, LTD
- Ambulatory Health Care Services, LTD.
- Candice Amelio, MS. CCC-SLP
- Ahuva Ament, APRN
- American Diagnostic Laboratory Inc
- American Drug Stores LLC (Osco Drug #3465)
- American Physician Group Inc
- American Professional Home Health, Inc.
- American Rehabilitation Services,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.