Active NPI
P.W Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1265610356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 001
- Legal business name
- P.W MEDICAL SUPPLIES, INC.
- Practice address
- 951 W 68TH St
Chicago, IL 60621-1841 - Phone
- (773) 723-4755
- Fax
- (773) 723-4765
- NPI assigned
- Jan 31, 2008
- 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
- Mr. Victor L Ware Sr.
- Title
- President
- Phone
- (773) 723-4755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 001 | IL | Primary |
Addresses
Primary practice location
951 W 68TH St
Chicago, IL 60621-1841
Mailing address
951 W 68TH St
Chicago, IL 60621-1841
Phone (773) 723-4755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1265610356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 W 68TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606211841",
"telephone_number": "773-723-4755",
"fax_number": "773-723-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 W 68TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606211841",
"telephone_number": "773-723-4755",
"fax_number": "773-723-4765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P.W MEDICAL SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-723-4755",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "001",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.