Medical Supply Depot

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1475809472 Issued in IL

Legal business name

MEDICAL SUPPLY DEPOT

Practice address

2662 N Lincoln Ave
Chicago, IL 60614-1307

Phone

(773) 868-3994

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Hina Chowdhry

Title

President

Phone

(260) 418-8050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1326439027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-868-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-868-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "CHOWDHRY",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-418-8050"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1475809472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Services Ric
• Medical Services Sa Inc
• Medical Specialist
• Medical Supplies and More LLC
• Medical Supply Company of Illinois LLC
• Medical Supply for You LLC
• Medical Unlimited LTD
• Medically Speaking, Inc.
• Medicar Limited (Care Fare)
• Medicare Laboratory Services LLC

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, 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 Feb 17, 2015; 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.