Patterson Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATTERSON MEDICAL SUPPLY, INC

Practice address

1000 Remington Blvd
Ste 210
Bolingbrook, IL 60440-5114

Phone

(630) 378-6285

Fax

(630) 378-6963

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Stell

Title

Sales Administrator

Phone

(630) 378-6285

Specialties & licenses 1

Addresses

Other names 1

• Sammons Preston Doing business as

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1255514154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "STE 210",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405114",
            "telephone_number": "630-378-6285",
            "fax_number": "630-378-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "STE 210",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405114",
            "telephone_number": "630-378-6285",
            "fax_number": "630-378-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "STELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SALES ADMINISTRATOR",
        "authorized_official_telephone_number": "630-378-6285"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sammons Preston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelan Patel, OT
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• Durable Medical Equipment & Medical Supplies in Bolingbrook, IL
• Providers in Bolingbrook, 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 Dec 13, 2007; 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.