Organization Active NPI

American Clinical Supplies LTD

  • Durable Medical Equipment & Medical Supplies
  • Skokie, IL
National Provider Identifier
1215264940
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004002512 Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004002512OtherILDRUG DISTRIBUTOR LICENSE

National Provider Directory

National Provider Directory
Tax ID family
American Clinical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.