Active NPI
Med-Elite Innovation Inc.
- Durable Medical Equipment & Medical Supplies
- Franklin Park, IL
National Provider Identifier
1235657735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED-ELITE INNOVATION INC.
- Practice address
- 11101 Franklin Ave.
Franklin Park, IL 60131 - Phone
- (262) 384-1564
- NPI assigned
- Sep 5, 2017
- 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
- Demetrius Verges
- Title
- C.O.O
- Phone
- (216) 970-0266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11101 Franklin Ave.
Franklin Park, IL 60131
Mailing address
11101 Franklin Ave
Franklin Park, IL 60131-1403
National Provider Directory
National Provider DirectoryLocations
11101 Franklin Ave
Franklin Park, IL 60131
Phone (262) 384-1564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504569600000",
"number": "1235657735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11101 FRANKLIN AVE",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601311403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11101 FRANKLIN AVE.",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "60131",
"telephone_number": "262-384-1564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-ELITE INNOVATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A",
"authorized_official_last_name": "VERGES",
"authorized_official_first_name": "DEMETRIUS",
"authorized_official_title_or_position": "C.O.O",
"authorized_official_telephone_number": "216-970-0266"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.