The Lifesupplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE LIFESUPPLIES INC

Practice address

26117 S Countyfair Dr
Monee, IL 60449-8783

Phone

(708) 259-0811

Fax

(708) 441-2131

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Edith Ogochukwu Nwandu, CEO

Title

President

Phone

(708) 259-0811

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1245831197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26117 S COUNTYFAIR DR",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498783",
            "telephone_number": "708-259-0811",
            "fax_number": "708-441-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26117 S COUNTYFAIR DR",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498783",
            "telephone_number": "708-259-0811",
            "fax_number": "708-441-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFESUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "NWANDU",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "OGOCHUKWU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-259-0811",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Monee, IL
• Providers in Monee, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.