Medical Shipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

004.003232 Issued in IL

Legal business name

MEDICAL SHIPMENT, LLC

Doing business as

Medical Shipment

Practice address

70 Lively Blvd
Elk Grove Village, IL 60007-1619

Phone

(847) 253-3000

Fax

(847) 506-0524

NPI assigned

Apr 5, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Micic

Title

Ceo

Phone

(847) 253-3000

Specialties & licenses 1

Addresses

Other names 1

• Medical Shipment Doing business as

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1316443559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LIVELY BLVD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071619",
            "telephone_number": "847-253-3000",
            "fax_number": "847-506-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LIVELY BLVD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071619",
            "telephone_number": "847-253-3000",
            "fax_number": "847-506-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SHIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MICIC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-253-3000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "004.003232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Shipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Elk Grove Village, IL
• Providers in Elk Grove Village, 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 Jun 11, 2019; 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.