Direct Medical Supplies, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

203-000522 Issued in IL

Legal business name

DIRECT MEDICAL SUPPLIES, INC

Practice address

4001 W Devon Ave Ste 300
Chicago, IL 60646-4538

Phone

(773) 777-6611

Fax

(773) 777-6633

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jude Ezeani Nwokenkwo, FOREIGN MD

Title

President

Phone

(815) 588-5506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1326089731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464538",
            "telephone_number": "773-777-6611",
            "fax_number": "773-777-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464538",
            "telephone_number": "773-777-6611",
            "fax_number": "773-777-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "NWOKENKWO",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "EZEANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-588-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FOREIGN MD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203-000522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.