Azzizawear International

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AZZIZAWEAR INTERNATIONAL

Practice address

817 South Scoville Avenue, Suite 3a
Oak Park, IL 60304-1408

Phone

(708) 524-9900

Fax

(708) 524-3399

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Juanita J. Lacourt-Grant

Title

President/Ceo

Phone

(708) 524-9900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1306092440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SOUTH SCOVILLE AVENUE, SUITE 3A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041408",
            "telephone_number": "708-524-9900",
            "fax_number": "708-524-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SOUTH SCOVILLE AVENUE, SUITE 3A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041408",
            "telephone_number": "708-524-9900",
            "fax_number": "708-524-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZIZAWEAR INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "LACOURT-GRANT",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-524-9900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ayala
• Doris N Ayala, LCSW MW
• Amba Ayloo, M.D.
• Malike Ayouba, LMT
• Asfiya T Azizuddin, MD
• B. Safe Transportation LLC
• Rebecca Olynda Baake, LCSW
• Ruth Sharel Babcock, LCSW
• Matthew Baer
• Jane K. Bahk, M.D.

• Durable Medical Equipment & Medical Supplies in Oak Park, IL
• Providers in Oak Park, 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 Aug 8, 2008; 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.