Organization Active NPI

Avalon Medical Supply Company

  • Durable Medical Equipment & Medical Supplies
  • West Chicago, IL
National Provider Identifier
1326883752
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AVALON MEDICAL SUPPLY COMPANY
Practice address
1800 W Hawthorne LN Ste M2
West Chicago, IL 60185-1860
Phone
(224) 425-8537
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Sana Chaudhry
Title
President
Phone
(224) 425-8537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1800 W Hawthorne LN Ste M2
West Chicago, IL 60185-1860

Mailing address

1800 W Hawthorne LN Ste M2
West Chicago, IL 60185-1860
Phone (224) 425-8537

National Provider Directory

National Provider Directory

Locations

1800 W Hawthorne Ln
Ste M2
West Chicago, IL 60185
Phone (224) 425-8537

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1326883752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE M2",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851860",
            "telephone_number": "224-425-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE M2",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851860",
            "telephone_number": "224-425-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-425-8537"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.