Organization Active NPI

Medical Innovation Intregration Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1255185047
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL INNOVATION INTREGRATION INC
Practice address
657 W Fulton St Unit 310
Chicago, IL 60661-1287
Phone
(312) 834-6751
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Chadd Lauritsen
Title
Ceo
Phone
(312) 834-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

657 W Fulton St Unit 310
Chicago, IL 60661-1287

Mailing address

657 W Fulton St Unit 310
Chicago, IL 60661-1287
Phone (312) 834-6751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1255185047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 W FULTON ST UNIT 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611287",
            "telephone_number": "312-834-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 W FULTON ST UNIT 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611287",
            "telephone_number": "312-834-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INNOVATION INTREGRATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "LAURITSEN",
        "authorized_official_first_name": "CHADD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-834-6751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.