Organization Active NPI

Promed Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1356508055
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMED MEDICAL SUPPLIES
Practice address
10913 S Longwood Dr
#1
Chicago, IL 60643-3358
Phone
(773) 233-5254
Fax
(773) 233-5254
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Wasim Said
Title
President
Phone
(773) 233-5254

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary
Nursing Facility Supplies (DME) 332BN1400X IL
Oxygen Equipment & Supplies (DME) 332BX2000X IL

Addresses

Primary practice location

10913 S Longwood Dr
#1
Chicago, IL 60643-3358

Mailing address

10913 S Longwood Dr
#1
Chicago, IL 60643-3358
Phone (773) 233-5254

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1356508055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10913 S LONGWOOD DR",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433358",
            "telephone_number": "773-233-5254",
            "fax_number": "773-233-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10913 S LONGWOOD DR",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433358",
            "telephone_number": "773-233-5254",
            "fax_number": "773-233-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-233-5254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.