Favor Medical Supplies & Transportation Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAVOR MEDICAL SUPPLIES & TRANSPORTATION SERVICES INC

Practice address

18350 Kedzie Ave
Ste 204
Homewood, IL 60430-2700

Phone

(708) 745-2125

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

David Ebom

Title

President

Phone

(708) 745-2125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1326499880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE",
            "address_2": "STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302700",
            "telephone_number": "708-745-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE",
            "address_2": "STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302700",
            "telephone_number": "708-745-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOR MEDICAL SUPPLIES & TRANSPORTATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "EBOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-745-2125"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.